Document Detail


Liver graft vascular variant with 3 extra-hepatic arteries.
MedLine Citation:
PMID:  20525561     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vascular anatomy of the liver is varied, and the "standard" anatomy is seen in 55%-80% of cases. It is very important that extrahepatic arteries are identified precisely at the time of graft procurement to avoid injuries that might compromise the liver function. In the present case the liver donor had the vascular anatomy of Michels type VII, e.g. a hepatic artery originating from the celiac trunk and going to the left lobe, an accessory left hepatic artery coming from the left gastric artery, and a replaced right hepatic artery coming from the superior mesenteric artery. This pattern of vascular supply is uncommon, representing less than 5% of cases. The replaced hepatic artery was reconstructed in the back-table with polypropylene suture 7.0 by connecting it to the stump of the splenic artery, and the celiac trunk of the graft was anastomosed to the recipient common hepatic artery.
Authors:
Paulo N Martins
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  9     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-07     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  319-20     Citation Subset:  IM    
Affiliation:
Department of Surgery, Division of Hepatobiliary Surgery and Transplantation, New York Medical College, New York, New York 10595, USA. Paulo_Martins@nymc.edu
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MeSH Terms
Descriptor/Qualifier:
Celiac Artery / surgery
Hepatic Artery / abnormalities*,  surgery*
Humans
Ligation
Liver / blood supply*,  surgery*
Liver Transplantation*
Splenic Artery / surgery
Suture Techniques
Tissue Donors*
Vascular Surgical Procedures*

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


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