Document Detail


Characterization of the middle hepatic artery and its relevance to living donor liver transplantation.
MedLine Citation:
PMID:  20517907     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In comparison with the left and right hepatic arteries, there is a relative lack of information on the middle hepatic artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that primarily supplies hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left hepatic artery, the MHA originated from the right hepatic artery; in livers that had a replaced right hepatic artery, it originated from the left hepatic artery. It always arose directly or indirectly from the common hepatic artery, from which the gastroduodenal artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT.
Authors:
Shaofa Wang; Xiaoshun He; Ziping Li; Zhenpeng Peng; Nga Lei Tam; Canhui Sun; Anbin Hu; Jiefu Huang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society     Volume:  16     ISSN:  1527-6473     ISO Abbreviation:  Liver Transpl.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909185     Medline TA:  Liver Transpl     Country:  United States    
Other Details:
Languages:  eng     Pagination:  736-41     Citation Subset:  IM    
Copyright Information:
(c) 2010 AASLD.
Affiliation:
Organ Transplantation Center, Sun Yat-Sen University, Guangzhou, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Hepatic Artery / abnormalities,  anatomy & histology*,  radiography,  surgery
Humans
Liver / blood supply*,  surgery
Liver Transplantation*
Living Donors*
Male
Middle Aged
Retrospective Studies
Tomography, Spiral Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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