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Czasopismo

2015 | 74 | 4 |

Tytuł artykułu

Ring-shaped variation of the coeliac trunk branches

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Aberrant arterial variations in the branching pattern of the coeliac trunk are of great interest to surgeons and radiologists. We report on a rare arterial variation found in a 79-year-old cadaver during educational dissection. Specifically, the coeliac axis formed a unique incomplete trunk termed the hepato-hepatic trunk. The splenic artery arose separately from the anterior aspect of the abdominal aorta. On the right side, there was a right hepatic artery giving rise to a gastroduodenal but an absence of the left hepatic. On the left side, there was a branch coursing towards the porta hepatis; the left hepatic artery, dividing into the left gastric, an accessory left gastric, and a branch to the distal oesophagus. The hepato-hepatic trunk formed a ring-shaped vascular structure around the caudate lobe of the liver. Precise mapping and observation of the extrahepatic arteries and bile duct branches is essential in a variety of hepato-biliary laparoscopic procedures of the liver and gallbladder. Other operative procedures requiring, a comprehensive knowledge of the varied coeliac trunk patterns are liver transplantation and arterial embolism for hepatic tumour therapy. (Folia Morphol 2015; 74, 4: 540–543)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

74

Numer

4

Opis fizyczny

p.540-543,fig.,ref.

Twórcy

autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia
autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia
autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia
autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia
autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia
autor
  • Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia

Bibliografia

  • 1. Chen H, Yano R, Emura S, Shoumura S (2009) Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat, 191: 399–407.
  • 2. Haller A (1756) Icones anatomicae in quibus aliquae partes corporis humani delineatae proponuntur et arteriarum potissimum historia continetur. Vandenhoeck, Göttingen.
  • 3. Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg, 220: 50–52.
  • 4. Iacob N, Sas I, Joseph SC, Ples H, Miclaus GD, Matusz P, Tubbs RS, Loukas M. (2014) Anomalous pattern of origin of the left gastric, splenic, and common hepatic arteries arising independently from the abdominal aorta. Rom J Morphol Embryol, 55: 1449–1453.
  • 5. Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat, 26: 239–244.
  • 6. Lopez-Andujar R, Moya A, Montalva E, Berenguer M, De Juan M, San Juan F, Pareja E, Vila JJ, Orbis F, Prieto M, Mir J (2007) Lessons learned from anatomic variants of the hepatic artery in 1,081 transplanted livers. Liver Transpl, 13: 1401–1404.
  • 7. Michels NA (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg, 112: 337–347.
  • 8. Panagouli E, Venieratos D, Lolis E, Skandalakis P (2013) Variations in the anatomy of the celiac trunk: Aa systematic review and clinical implications. Ann Anat, 195: 501–511.
  • 9. Raikos A, Paraskevas GK, Natsis K, Tzikas A, Njau SN (2010) Multiple variations in the branching pattern of the abdominal aorta. Rom J Morphol Embryol, 51: 585–587.
  • 10. Rusu MC, Jianu AM, Sztika D, Cuzino D, Loreto C (2011) Three extremely rare anatomic variants of the hepatic artery. Ann Vasc Surg, 25: 1138.e1–1138.e7.
  • 11. Schwarz L, Huet E, Yzet T, Fuks D, Regimbeau JM, Scotte M (2014) An extremely uncommon variant of left hepatic artery arising from the superior mesenteric artery. Surg Radiol Anat, 36: 91–94.
  • 12. Standring S (2005) Gray’s anatomy. 39th Ed. Churchill Livingstone, Edinburgh.
  • 13. Takenaka H, Iwase K, Ohshima S, Hiranaka T (1992) A new technique for the resection of gastric cancer: modified appleby procedure with reconstruction of hepatic artery. World J Surg, 16: 947–951.
  • 14. Yi SQ, Terayama H, Naito M, Hirai S, Alimujang S, Yi N, Tanaka S, Itoh M (2008) Absence of the celiac trunk: case report and review of the literature. Clin Anat, 21: 283–286.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-9ea97f62-e5ae-4b49-b66c-ff18454e863e
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