The Origin of the Left Gastric Artery

Abstract

Five hundred celiac angiograms were reviewed to evaluate the frequency of clinically significant variations in the origin of the left gastric artery. In 13 of 500 cases, the left gastric artery arose anomalously most often as a direct branch of the aorta; in 14 of 500 cases, the left gastric artery primarily supplied the liver with only minor contributions to the stomach. An aberrant origin of the left gastric artery necessarily influences the angiographic diagnosis and therapy of gastrointestinal hemorrhage.

Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as laparoscopic view

“…Anatomic variations of the left and right gastric arteries have often been reported [3,8]. Radiologists at our institute reported that 50 of 56 (89%) right gastric arteries were detected by CT, and that the origin of the right gastric artery was incorrectly assessed in seven cases [12].…”

“…The replaced hepatic artery was considered important to preserve because of lethal complications of necrosis of the left lobe [6]. Naidich et al [8] reported that the left gastric artery arose as a direct branch of the aorta in 14 of 500 cases. Arising from the aorta is one of the important anomalies of vessels during lymph node dissection.…”

Variations of the Branches of the Coeliac Trunk: a Case Report

“…2,3 Also variations of branches of the coeliac trunk were reported by many authors. 4 The inferior phrenic arteries are two small arteries which supply the diaphragm.…”

Duplicate left gastric artery identified during laparoscopic distal gastrectomy

“…We searched PubMed for articles using the key term “left gastric artery” published between 1946 and 2019 and found only one report on duplicate LGA. Naidich et al evaluated 500 angiograms, including at least one selective study of the celiac trunk or the gastrosplenic trunk 2 . They reported two equal caliber LGAs arising from the celiac artery in two cases (0.4%), but surgical management of patients with a duplicate LGA has not been reported previously.…”