The absence of the common hepatic artery and its implications for surgical practice: Results of a systematic review and meta-analysis

Cirocchi, Roberto; D’Andrea, Vito; Lauro, Augusto; Renzi, Claudio; Henry, Brandon Michael; Tomaszewski, Krzysztof A.; Rende, Mario; Lancia, Massimo; Carlini, Luigi; Gioia, Sara; Randolph, Justus

doi:10.1016/j.surge.2019.03.001

Cited by 11 publications

(7 citation statements)

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“…In our study we referred to Adachi and Michels who have classified the celiac trunk into six different types [2,12]. However, these classifications do not include all observed variants of the celiac trunk as well as accessory or replaced hepatic arteries, both of them are still being mentioned and compared with newly described ones [5,20,22,23,24,25,26]. Furthermore, Adachi's and Michel's classifications described in textbooks were recently considered to create a scheme of the most frequent variants of the celiac trunk and anatomy of the hepatic circulation [19,24].…”

Section: Discussionmentioning

confidence: 99%

Coeliac trunk and its anatomic variations: a cadaveric study

et al. 2021

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Background: Celiac trunk is the first major visceral branch of the abdominal aorta. The aim of this work was to present the celiac trunk division pattern and its anatomical variants in a sample of Polish population. Materials and methods: Celiac trunk dissection was performed in 50 adult cadavers in the Department of Anatomy, Jagiellonian University Medical College. Cadavers of Polish subjects were included. Cadavers with previous upper abdominal surgery, abdominal trauma, disease process that distorted arterial anatomy or signs of putrefaction were excluded. Celiac trunk variations, accessory vessels, and vertebral level of origin were described. Celiac trunk patterns were reported according to the Adachi classification. This study was reviewed and approved by the local Ethics Committee. Results: Celiac trunk consisting of the left gastric, common hepatic and splenic artery (type 1 according to the Adachi classification) was found in 82% of cadavers. The true tripod was found in 20% and the false one in 80%. Additional vessels were also found: greater pancreatic from the splenic artery and left inferior phrenic from the left gastric artery, which accounted for 2% sections. Type 2 according to the Adachi classification (i.e. the hepatosplenic trunk) were found in 16% of the sections. Other types of celiac trunk were not observed. The level of origin was found to be at the inter-vertebral disc between T12 and L1 in all of the cases. Conclusions: Based on the analysis of the sectional material of the Department of Anatomy, it was found that the typical visceral segmental division is approximate to that observed by Adachi in its classification, whereas the second type of celiac trunk was twice as frequent and no other, less frequent were found. variety.

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Section: Discussionmentioning

confidence: 99%

Coeliac trunk and its anatomic variations: a cadaveric study

et al. 2021

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“…The absence of the CHA is also a possible vessel deviation. This pattern leads in most instances to the appearance of a replaced hepatic artery, which provides liver its arterial supply 2 . This study records such a case, where a RRHA is observed, while CHA is absent.…”

Section: Discussionmentioning

confidence: 99%

“…In this classification, the terms "replaced" and "accessory" hepatic artery were firstly introduced. According to Michels classification, our case corresponds to type 4 (1%) 2,8 . Hiat et al, in 1994, after studying 1000 hepatic samples, proposed a modification of Michels' classification.…”

Section: Discussionmentioning

confidence: 99%

“…Deviations of the normal arterial branching pattern of the CHA are not rare, having an incidence of 41% 2 . The most common among CHA variations are the so-called aberrant hepatic arteries.…”

Section: Introductionmentioning

confidence: 99%

“…The accessory hepatic artery is an additional vessel supplying a hepatic lobe, while the replaced hepatic artery provides the sole supply to a lobe, presenting an unexpected point of origin 3,4 . In some cases, the CHA may be absent, with an incidence of approximately 1.4% to 6.5% (average incidence ≈ 3.3%) 2,6 .…”

Section: Introductionmentioning

confidence: 99%

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Replaced right hepatic artery arising from abdominal aorta: a case report

Tsoucalas¹,

Panagouli²,

Vasilopoulos³

et al. 2021

Arch Balk Med Union

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Artère hépatique droite découlant de l'aorte abdominale: rapport de cas Introduction. L'artère hépatique commune est l'une des trois branches du trépied de Haller et donne naissance aux artères hépatiques gauche et droite. Nous décrivons le cas d'une femme de 62 ans avec l'artère hépatique droite s'élevant de l'aorte abdominale, diagnostiquée fortuitement lors d'une angiographie tomodensitométrique abdominale. Rapport de cas. L'artère hépatique commune était absente. À sa place, l'artère hépatique gauche provenait du tronc coeliaque, tandis que l'artère hépatique remplacée droite a été observée provenant directement de l'aorte abdominale. Conclusions. Le schéma vasculaire anormal rare présenté n'a pas encore été classé comme une variation anatomique. De telles aberrations artérielles doivent être prises en compte par les chirurgiens lors d'une cholécystectomie, d'une transplantation hépatique et d'une pancréatectomie, afin d'éviter les complications.

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