Document Detail


The superior group of vessels in the falciform ligament: anatomical and radiological correlation.
MedLine Citation:
PMID:  18286221     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The purpose of this study was to clarify the anatomical detail of the superior group of vessels in the falciform ligament in terms of the relationship with the internal thoracic vessels, inferior phrenic vessels, and the intrahepatic portal vein. MATERIALS AND METHODS: (1) Anatomical study: we dissected eight adult human cadavers (seven normal and one cirrhotic liver) to determine the relationship between the superior group of vessels in the falciform ligament, the internal thoracic vessels, and the inferior phrenic vessels. (2) Clinical study: we determined the origin and destination of the superior group of veins demonstrated in 8 of 4,006 patients with chronic liver disease who underwent the contrast enhanced CT scans. RESULTS: (1) Anatomical study: the superior group of vessels anastomosed the right (n = 4), left (n = 2), and both (n = 2) internal thoracic vessels. They also anastomosed the left (n = 4), right (n = 1), and both (n = 2) inferior phrenic vessels. (2) Clinical study: the origin of the veins was identified as the left medial branch (n = 4), left lateral branch (n = 1), both the lateral and medial branches (n = 1), and the vein from the umbilical portion (n = 2) of the left portal vein. The drainage vein was identified as the left (n = 3), right (n = 2), and the both (n = 1) internal thoracic veins. CONCLUSION: We demonstrated the anastomoses between the superior group of vessels of the falciform ligament, the internal thoracic vessels, the inferior phrenic vessels, and the intrahepatic portal vein. These pre-existing anastomoses would develop as porto-systemic shunt in patients with portal hypertension.
Authors:
Kenji Ibukuro; Rei Tanaka; Hozumi Fukuda; Shoko Abe; Kimiko Tobe
Publication Detail:
Type:  Journal Article     Date:  2008-02-20
Journal Detail:
Title:  Surgical and radiologic anatomy : SRA     Volume:  30     ISSN:  0930-1038     ISO Abbreviation:  Surg Radiol Anat     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-15     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608029     Medline TA:  Surg Radiol Anat     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  311-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Mitsui Memorial Hospital, 1-Kanda Izumicho Chiyoda-ku, Tokyo 101-8643, Japan. kj-ibkr@qd6.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Contrast Media
Female
Hepatic Veins / anatomy & histology,  radiography*
Humans
Ligaments / anatomy & histology*,  blood supply,  radiography
Liver / blood supply*,  radiography
Male
Portal Vein / anatomy & histology*,  radiography
Retrospective Studies
Thorax / anatomy & histology,  blood supply*
Tomography, X-Ray Computed
Umbilical Veins / anatomy & histology*,  radiography
Chemical
Reg. No./Substance:
0/Contrast Media

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