The anatomic features of variant hepatic artery and its possible clinical significance

HOU Yan-hong, CUI Ai-ling, LIU Xue-min, LI Jian-bin, LI Ming, CAO Jing

Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (4) : 366-370.

Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (4) : 366-370. DOI: 10.13418/j.issn.1001-165x.2019.04.002

The anatomic features of variant hepatic artery and its possible clinical significance

  • HOU Yan-hong1, CUI Ai-ling1, LIU Xue-min1, LI Jian-bin1, LI Ming1, CAO Jing2#br#
Author information +
History +

Abstract

Objective To investigate the anatomical features of variant hepatic artery so as to provide morphological data for clinical operation, such as related vascular imaging examination, surgery and interventional therapy. Methods Twenty-five adult corpses were dissected in the routine method. The branches of the proper hepatic artery and their distributions were traced along the common hepatic artery, and the distributions were studied. Results The variant rate of proper hepatic artery and its branches was 28%. Some variant branches beyond the Hitta classification were found in 2 cases, in which the right gastric artery was not found as expected on the right wall of the proper hepatic artery;it originated from the left wall and was distributed in the liver and stomach,  and was called "hepatogastric artery (HGA)" in the literature. In one of the two specimens, a branch was found originating from the posterior wall of HGA and also distributed in the liver and stomach, which was thus called "hepatogastric accessory artery". Conclusion HGA originates from the left wall of the proper hepatic artery in two of the specimens, and is the main arterial source of the right side of the lesser curvature of the stomach, and has branches to nourish the liver and other parts of the stomach as well. This research contributes to the morphological data of the variant hepatic artery, and may give some guide to the related clinic operation.

Key words

Proper hepatic artery / Variant hepatic artery / Hepatogastric artery / Right gastric artery / Variation

Cite this article

Download Citations
HOU Yan-hong, CUI Ai-ling, LIU Xue-min, LI Jian-bin, LI Ming, CAO Jing. The anatomic features of variant hepatic artery and its possible clinical significance[J]. Chinese Journal of Clinical Anatomy. 2019, 37(4): 366-370 https://doi.org/10.13418/j.issn.1001-165x.2019.04.002

References

[1] 鲍光进, 李树平, 孙静, 等. 肝动脉解剖变异的 640层容积 CT血管成像研究[J]. 中国医学计算机成像杂志, 2014,20(6): 555-560.
[2] Michels NA. Newer anatomy of the liver and its variant blood supplyand collateral circulation[J]. Am J Surg, 1966, 112(3): 337-347.
[3] Hitta JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepaticarteries in 1000 cases[J]. Ann Surg, 1994, 220(1): 50-52.
[4] 虞桦, 张佳林, 张城硕, 等. 合并供肝动脉变异肝移植肝动脉重建 42例临床分析[J]. 中国医科大学学报, 2016, 45(4): 352-360.
[5] 李中辉, 陈华, 孙备. 胰十二脂肠切除术中变异肝动脉识别与处理[J].中国实用外科杂志, 2017, 37(9): 1050-1053.
[6] 孙鹏, 孙义馨, 张柏秋, 等. MDCTA 对肝动脉解剖变异的应用价值[J]. 中国实验诊断学, 2016, 20(10): 1768-1770.
[7] 苏耀, 吴莹怡, 沈慧香, 等. 肝固有动脉分支及吻合变异 1例[J]. 中国临床解剖学杂志, 2013, 31(1): 99.
[8] 张庆颜, 刘芳, 陈筱羽, 等. 副肝右动脉起自腹腔干 1例[J]. 中国临床解剖学杂志, 2015, 33(4): 438.
[9] 叶莹鹏, 姚潇潇, 蒋盼若, 等. 肝动脉来源伴腹腔干多分支变异一例[J]. 解剖学杂志, 2018, 41(6): 710.
[10]谢伦利, 易一平, 杨佩峰, 等. 双源性肝固有动脉分支伴胆囊动脉起点变异1例[J]. 中南医学科学杂志, 2013, 41(1): 94.
[11]于青云, 马建军, 谢赛同, 等. 双肝中动脉及肝动脉多分支变异 1 例[J]. 中国临床解剖学杂志, 2015, 33(1): 50.
[12]Saeed M, Murshid KR, Rufai AA, et al. Coexistence of multipleanomalies in the calia- mesenterric arterial system[J]. Clin Anat, 2002, 16: 30-36.
[13] 卢川, 刘作勤. 肝动脉解剖变异影像学研究[J]. 中国介入影像与治疗学, 2006, 2: 84-87.
[14] 魏祯杰, 晏玉洁, 何璐, 等. 肝左动脉变异合并肝固有动脉、 胃右动脉缺如一例[J]. 四川解剖学杂志, 2016, 24(3): 65.
[15] 路俊英, 郭志军, 郭海云, 等. 应用64排螺旋CT血管造影技术观察肝动脉解剖变异类型[J]. 肝脏, 2018, 23(9): 812-815.
[16] 涂植涛, 郭璐, 聂世鑫, 等. 胃小弯侧动脉的应用解剖[J]. 局部手术学杂志, 2013, 22(2): 131-133.
[17] 李家开, 张金山. 肝胃动脉在肝癌 TACE中的意义:胃肠道合并症的原因探讨[J]. 实用放射学杂志, 2002, 18(6): 498-502.

Accesses

Citation

Detail

Sections
Recommended

/