Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.

Variant vascular pattern affecting the hepatic artery is well documented. We here report a case of trifurcated hepatic artery proper associated with abnormal course, branching and termination of right hepatic artery. In the present case, hepatic artery proper trifurcated into right, middle and left...

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Main Authors: Naveen K, Jyothsna P, Swamy RS, Anitha G, Surekha DS, Ashwini AP, Satheesha NB
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2014
Online Access:http://journalarticle.ukm.my/7709/1/17._MS1149_%2870-72%29.pdf
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author Naveen K,
Jyothsna P,
Swamy RS,
Anitha G,
Surekha DS,
Ashwini AP,
Satheesha NB,
author_facet Naveen K,
Jyothsna P,
Swamy RS,
Anitha G,
Surekha DS,
Ashwini AP,
Satheesha NB,
author_sort Naveen K,
collection UKM
description Variant vascular pattern affecting the hepatic artery is well documented. We here report a case of trifurcated hepatic artery proper associated with abnormal course, branching and termination of right hepatic artery. In the present case, hepatic artery proper trifurcated into right, middle and left branches about 2 cm before reaching porta hepatis. Left and middle braches entered the liver through the porta hepatis as normal but, the right hepatic artery took an unusual course towards the fossa for gall bladder and passed between portal vein behind and common hepatic duct, anteriorly. Just before its termination, it gave an additional hepatic branch to the liver and a cystic branch to the gall bladder. The rare course, branching pattern and abnormal termination of the right hepatic artery as reported here, are vulnerable to damage during intraoperative procedures if not carefully observed. Hence, prior knowledge of its variant anatomy is imperative during segmental resection of the liver and any intraoperative procedures performed in this region.
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spelling ukm.eprints-77092016-12-14T06:44:56Z http://journalarticle.ukm.my/7709/ Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder. Naveen K, Jyothsna P, Swamy RS, Anitha G, Surekha DS, Ashwini AP, Satheesha NB, Variant vascular pattern affecting the hepatic artery is well documented. We here report a case of trifurcated hepatic artery proper associated with abnormal course, branching and termination of right hepatic artery. In the present case, hepatic artery proper trifurcated into right, middle and left branches about 2 cm before reaching porta hepatis. Left and middle braches entered the liver through the porta hepatis as normal but, the right hepatic artery took an unusual course towards the fossa for gall bladder and passed between portal vein behind and common hepatic duct, anteriorly. Just before its termination, it gave an additional hepatic branch to the liver and a cystic branch to the gall bladder. The rare course, branching pattern and abnormal termination of the right hepatic artery as reported here, are vulnerable to damage during intraoperative procedures if not carefully observed. Hence, prior knowledge of its variant anatomy is imperative during segmental resection of the liver and any intraoperative procedures performed in this region. Department of Surgery, UKM Medical Centre 2014-01-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/7709/1/17._MS1149_%2870-72%29.pdf Naveen K, and Jyothsna P, and Swamy RS, and Anitha G, and Surekha DS, and Ashwini AP, and Satheesha NB, (2014) Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder. Journal of Surgical Academia, 4 (1). pp. 70-72. ISSN 2231-7481 http://jsurgacad.com/
spellingShingle Naveen K,
Jyothsna P,
Swamy RS,
Anitha G,
Surekha DS,
Ashwini AP,
Satheesha NB,
Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title_full Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title_fullStr Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title_full_unstemmed Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title_short Trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder.
title_sort trifurcated hepatic artery proper with unusual course and termination of right hepatic artery into fossa for gall bladder
url http://journalarticle.ukm.my/7709/1/17._MS1149_%2870-72%29.pdf
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