Clinically relevant anatomical parameters of the replaced right hepatic artery (RRHA)

Staśkiewicz, Grzegorz; Torres, Kamil; Denisow, M.; Torres, Anna; Czekajska−Chehab, Elżbieta; Drop, Andrzej

doi:10.1007/s00276-015-1491-y

Cited by 12 publications

(5 citation statements)

References 25 publications

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“…Another study by Yang et al demonstrated similar results with MDCT being less sensitive for detecting celiac artery stenosis [ 31 ]. Whereas Staskiewicz et al showed that detection and evaluation of vascular anomalies does not necessarily require angiography-CT, rather a MDCT is sufficient to provide the knowledge of the HA abnormalities [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Vascular Anomalies on Pancreatoduodenectomy Procedure

et al. 2021

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Background: One of the critical steps during pancreatoduodenectomy (PD) procedure lies in identifying the complicated vascular anatomy of the resected area. The blood supply usually stems from branches of the celiac and the superior mesenteric arteries. However, only in 55-79% of surgeries, the anatomy of the blood vessels encountered by the surgeon is considered normal, while in the remaining cases, there are vascular variations that make these surgeries even more challenging. Any change or deviation from the known surgical course of PD makes surgery difficult and can result in an increase in intra/postoperative complications. In order to reduce difficulties encountered during PD, as well as reducing complication rates and improving surgical outcomes, a preliminary design, which includes preoperative identification of anatomical variations, is needed. The most accurate and accessible tool for identifying such variations is computed tomographic angiography (CTA). The aim of this retrospective study is to assess the prevalence of vascular anomalies encountered during PD, and examine whether there is an association between these anomalies and intra/postoperative morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Impact of Vascular Anomalies on Pancreatoduodenectomy Procedure

et al. 2021

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“…3 B) . The replaced RHA, arising from SMA, was one of the most variations of the hepatic artery found in 10.1-13.2% of cases [14] , [15] , [16] .…”

Section: Discussionmentioning

confidence: 97%

A rare congenital anomaly of the duodenal shape incidentally found at duodenopancreatectomy: A case report and literature review

Pham

Doan

Nguyen

2021

International Journal of Surgery Case Reports

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Introduction An anomaly of the duodenal shape is one of the rare congenital anomalies and remains poorly known in many previous studies and the literature. The duodenum is formed by developing the terminal foregut and proximal midgut through four stages in the embryonic period. According to the anatomy, the duodenum is typically described as C–shaped, U–shaped, or even horseshoe-shaped. Presentation of case The patient was hospitalized for abdominal pain and jaundice and diagnosed with ampullary carcinoma. During surgery, we incidentally discovered that the duodenum was not a C-shape. The first part of the duodenum and proximal half of the second part descended the head of the pancreas. However, the distal half of the second part bent to the right and ascended upwards to the upper-right margin of the pancreatic head. After that, the third part ran slantingly downward to the left and posterior of the pancreas and portal vein. Discussion During the fifth week, the ventral pancreatic bud moves around the duodenum's posterior side and unites the dorsal pancreatic bud at the sixth week. The place of the distal half of D2 migrated abnormally after ventral pancreatic bud rotation finished. The rapid and premature elongation of the proximal midgut, the influence of a very fast enlarged liver, or the early return of the umbilical loop combine with insufficiently developed abdominal space. These reasons may have led to the abnormal folding of the D2 position. Conclusion Knowledge about this anomaly helps clinicians know the duodenal-anatomical abnormalities.

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“…Vascular injury may occur during pancreatoduodenectomy, cholecystectomy and pancreatectomy. The evaluation of the local anatomical details should precede abdominal surgeries 12 . Every surgeon or interventional physician should always consider the possible existence of aberrant hepatic arteries.…”

Section: Discussionmentioning

confidence: 99%

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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Clinically relevant anatomical parameters of the replaced right hepatic artery (RRHA)

Cited by 12 publications

References 25 publications

Impact of Vascular Anomalies on Pancreatoduodenectomy Procedure

Impact of Vascular Anomalies on Pancreatoduodenectomy Procedure

A rare congenital anomaly of the duodenal shape incidentally found at duodenopancreatectomy: A case report and literature review

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

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