Vol 76, No 3 (2017)
Case report
Published online: 2017-01-27

open access

Page views 1351
Article views/downloads 1372
Get Citation

Connect on Social Media

Connect on Social Media

Triple arterial blood supply to the liver and double cystic arteries

J. Dolenšek1
Pubmed: 28150275
Folia Morphol 2017;76(3):523-526.

Abstract

A rare combination of variations in the arterial supply of the liver and gallbladder was encountered in a male cadaver. The simultaneous occurrence of an accessory left hepatic artery and an accessory right hepatic artery from which double cystic arteries arose (one of which was low-lying). This combination has not yet been reported. The accessory left hepatic artery originated from the left gastric artery. The accessory right hepatic artery originated from the superior mesenteric artery. Such arterial variations are caused by differences in embryological development. This, however, may lead to complications related to diagnostic and therapeutic procedures in the upper abdomen.

Article available in PDF format

View PDF Download PDF file

References

  1. Adachi B. Das Arteriensystem der Japaner. Band II. Verlag Der Kaiserlich-Japanischen Universität zu Kyoto, Kyoto 1928.
  2. Balija M, Huis M, Nikolic V, et al. Laparoscopic visualization of the cystic artery anatomy. World J Surg. 1999; 23(7): 703–7; discussion 707.
  3. Bradley OC. A contribution to the morphology and development of the mammalian liver. J Anat Physiol. 1908; 43: 1–42.
  4. Couinaud C. Surgical anatomy of the liver revisited. Embryology, Paris 1989: 11–24.
  5. Ding YM, Wang B, Wang WX, et al. New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy. World J Gastroenterol. 2007; 13(42): 5629–5634.
  6. Gurgacz AM, Horbaczewska A, Klimek-Piotrowska W, et al. Variations in hepatic vascularisation: lack of a proper hepatic artery. Two case reports. Folia Morphol. 2011; 70(2): 130–134.
  7. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994; 220(1): 50–52.
  8. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966; 112(3): 337–347.
  9. Miyaki T. Patterns of arterial supply of the human fetal liver. The significance of the accessory hepatic artery. Acta Anat (Basel). 1989; 136(2): 107–111.
  10. Mlakar B, Gadzijev EM, Ravnik D, et al. Anatomical variations of the cystic artery. Eur J Morphol. 2003; 41(1): 31–34.
  11. Polguj M, Podgórski M, Hogendorf P, et al. Variations of the hepatobiliary vasculature including coexistence of accessory right hepatic artery with unusually arising double cystic arteries: case report and literature review. Anat Sci Int. 2014; 89(3): 195–198.
  12. Shaw BW, Iwatsuki S, Starzl TE. Alternative methods of arterialization of the hepatic graft. Surg Gynecol Obstet. 1984; 159(5): 490–493.
  13. Skórzewska A, Stajgis P, Grzymisławska M, et al. Rare variations of hepatic arteries in association with variable origin of gastroduodenal artery found in multidetector computed tomography angiography. Folia Morphol. 2014; 73(4): 531–535.