Wada Noriaki, Yamashita Koji, Shin Seitaro, Harada Shino, Furuya Kiyomi, Imamura Hajime, Takami Yuko, Noguchi Tomoyuki
Department of Radiology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Japan.
Department of Hepato-Biliary-Pancreatic Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Japan.
Interv Radiol (Higashimatsuyama). 2021 Jun 7;6(2):51-54. doi: 10.22575/interventionalradiology.2020-0035. eCollection 2021 Jul 1.
Knowledge of the anatomic variations of the supraduodenal artery (SDA) and right gastric artery (RGA) is necessary to reduce the procedure time and radiation exposure dose, as well as to avoid unexpected complications of catheter placement before hepatic arterial infusion chemotherapy. The SDA and RGA most commonly arise from the gastroduodenal artery (GDA) and the proper hepatic artery, respectively; however, they can branch from the left hepatic artery (LHA). In addition, the SDA frequently anastomoses with the RGA and occasionally with the GDA. We observed a rare anatomic variant of SDA and RGA originating from the LHA as a common trunk. The patient also had a variant of SDA communicating with the GDA. It is important for interventional radiologists to be aware of these variations.