Advertisement

Replaced right hepatic artery coursing ventral to the portal vein: demonstration with 64-row CT and 3D reformatted images

  • Florent Duchat
    Affiliations
    Department of Abdominal Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Université Diderot-Paris 7, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
    Search for articles by this author
  • Philippe Soyer
    Correspondence
    Corresponding author. Tel.: +33 1 49 95 84 84; fax: +33 1 49 95 85 46.
    Affiliations
    Department of Abdominal Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Université Diderot-Paris 7, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
    Search for articles by this author
  • Philippe Malzy
    Affiliations
    Department of Abdominal Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Université Diderot-Paris 7, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
    Search for articles by this author
  • Mourad Boudiaf
    Affiliations
    Department of Abdominal Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Université Diderot-Paris 7, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
    Search for articles by this author
  • Roland Rymer
    Affiliations
    Department of Abdominal Imaging, Hôpital Lariboisière-AP-HP-GHU Nord and Université Diderot-Paris 7, 2, rue Ambroise Paré, 75475 Paris cedex 10, France
    Search for articles by this author

      Abstract

      We report one case of replaced right hepatic artery coursing ventral to the portal vein. This variation, which was demonstrated by 64-row CT angiography and three-dimensional reformatted images, has never been reported. Surgeons involved in hepatic and biliopancreatic procedures should be aware of this possible variation, which has important surgical implications.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Michels N
        Blood supply and anatomy of the upper abdominal organs with a descriptive atlas.
        Lippincott, Philadelphia1955
        • Covey AM
        • Brody LA
        • Maluccio MA
        • Getrajdman GI
        • Brown KT
        Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients.
        Radiology. 2002; 224: 542-547
        • Kuhns LR
        • Borlaza G
        Normal roentgen variant: aberrant right hepatic artery on computed tomography.
        Radiology. 1980; 135: 392
        • Saylisoy S
        • Atasoy C
        • Ersoz S
        • Karayalcin K
        • Akyar S
        Multislice CT angiography in the evaluation of hepatic vascular anatomy in potential right lobe donors.
        Diagn Interv Radiol. 2005; 11: 51-59
        • Smith GS
        • Birnbaum BA
        • Jacobs JE
        Hepatic infarction secondary to arterial insufficiency in native livers: CT findings in 10 patients.
        Radiology. 1998; 208: 223-229
        • Ohgiya Y
        • Gokan T
        • Munechika H
        Demonstration of aberrant hepatic and gastric arteries with helical CT.
        Invest Radiol. 1999; 34: 579-584