Anatomical variants of the common hepatic artery
DOI:
https://doi.org/10.31051/1852.8023.v12.n3.29604Keywords:
hepatic artery;, anatomic variation;, anatomyAbstract
Introduction: Variants of the common hepatic artery have been studied and described since ancient times, with the subsequent appearance of anatomical classifications for their correct identification. It has been reported that up to 40% of the population present these variants. Methodology: A systematic review of the literature was carried out by using the key words “hepatic artery”, “anatomic variation” and “anatomy”, resulting in a registry of 2203 individuals previously reported by various researchers which was analyzed as a whole. Results: Anatomical variants were studied and described by Michels, Lippert & Pabst, and Hiatt. According to the Hiatt classification, 80,46% of individuals were sorted in group I, 6,46% in group II, 6,10% in group III, 1,50% in group IV, 1,32% in group V and 0,02% in group VI. Michels’ group X, not included in Hiatt’s classification, represented 0,04% of the sample. Conclusions: Preoperative imaging studies are recommended when appropriate since it could result in an decrease in surgical and post-surgical complication. Descriptive studies that determine the incidence of anatomical variants in the local population should be considered.
References
Brunicardi F, Andersen D, Billiar T, Dunn D, Kao L, Hunter J, Matthews J, Pollock R. 2019. Schwartz's Principles of Surgery. 11va Edición, Nueva York: McGraw-Hill, pag: 1-2448.
Busuttil R, Klintmalm G. 2015. Transplantation of the liver. 3ra Edición, Filadelfia: Elsevier, pag: 1-1568.
Doherty G. 2014. CURRENT Diagnosis & Treatment: Surgery. 14va Edición, Nueva York: McGraw-Hill, pag: 1-1392.
Favelier S, Germain T, Genson P, Cercueil J, Denys A, Krausé D, Guiu B. 2015. Anatomy of liver arteries for interventional radiology. Diagn Interv Imaging 96: 537-546. Doi:10.1016/j.diii.2013.12.001
Fonseca O, Lima H, Rabelo P, Melo P, Amorim A, Lacerda C. 2017. Anatomic Variations of Hepatic Artery: A Study in 479 Liver Transplantations. ABCD Arq Bras Cir Dig 30: 35-37. Doi: 10.1590/0102-6720201700010010
Gkaragkounis A, Fanariotis M, Tepetes K, Fezoulidis I, Vassiou K. 2019. Celiac Trunk and Hepatic Arteries: Anatomical Variations of Liver Arterial Supply as Detected with Multidetector Computed Tomography in 1,520 Patients and its Clinical Importance. Clin Anat. Doi: 10.1002/ca.23511. Accesado de https://onlinelibrary.wiley.com/doi/10.1002/ca.23511 el 14 de junio de 2020.
Gomes G, Encina C, Guerra F, Lira G, Fonseca J, Pardins J. 2014. Atypical origin of the common hepatic artery. ABCD Arq Bras Cir Dig 27: 308-309. Doi: 10.1590/S0102-67202014000400021
Hiatt J, Gabbay J, Busuttil R. 1994. Surgical Anatomy of the Hepatic Arteries in 1000 Cases. Ann Surg 220: 50-52. Doi: 10.1097/00000658-199407000-00008
Lippert H, Pabst R. 1985. Arterial variations in man. Classification and frequency. Berlin: Springer, pag: 30-45.
Michels N. 1966. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am Jour Surg 112: 337-347. Doi:10.1016/0002-9610(66)90201-7
Noussios G, Dimitriou I, Chatzis I, Katsourakis A. 2017. The Main Anatomic Variations of the Hepatic Artery and Their Importance in Surgical Practice: Review of the Literature. J Clin Med Res 9: 248-252. Doi: 10.14740/jocmr2902w
Ottone N, Blasi E, Dominguez M, Medan C. 2012. Tronco Celíaco Mesentérico En Combinación Con Arterias Hepáticas Aberrantes. Rev Arg Anat Onl 3: 18-21.
Pidal G, Oribe G, Arrayago I, Curra-Gagliano F, D'Anna E, Martín E. 2014. Vasculatura Portal Intrahepática: Descripción Anatómica, Radiológica y Ecográfica. Int J Morphol 32: 909-913. Doi: 10.4067/S0717-95022014000300026
Pinal D, Nuno C, Gonzalez M, Ibarra T. 2018. The Celiac Trunk and Its Anatomical Variations: A Cadaveric Study. J Clin Med Res 10: 321-329. Doi: 10.14740/jocmr3356w
Rodríguez D, Fallas J. 2011. Variante anatómica: origen de la arteria hepática derecha de la arteria mesentérica superior. Med Leg Costa Rica 28: 71-74.
Saiz R, Ferrer M, Vázquez J, Falco E, Escudero M, Vicens J, González M. 2017. Variantes según la clasificación de Michels y ramas extrahepáticas. Revisión del tema y descripción de hallazgos angiográficos en 99 pacientes tratados con quimioembolización. Intervencionismo 17: 60-69.
Sitarz R, Berbecka M, Mielko J, Rawicz-Pruszyński K, Staśkiewicz G, Maciejewski R, Polkowski W. 2018. Awareness of hepatic arterial variants is required in surgical oncology decision making strategy: Case report and review of literature. Oncol Lett 15: 6251–6256. Doi: 10.3892/ol.2018.8106
Skórzewska A, Stajgis P, Grzymisławska M, Rojewska M, Krajecki M, Bruska M, Juszkat R. 2014. Rare variations of hepatic arteries in association with variable origin of gastroduodenal artery found in multidetector computed tomography angiography. Folia Morphol 73: 531-535.
Ursic M, Ravnik D, Hribernik M, Pecar J, Butinar J, Fazarinc G. 2007. Gross anatomy of the portal vein and hepatic artery ramifications in dogs: corrosion cast study. Anat Histol Embryol 36: 83-87. Doi: 10.1111/j.1439-0264.2006.00719.x
Wang Y, Cheng C, Wang L, Li R, Chen J, Gong S. 2014. Anatomical variations in the origins of the celiac axis and the superior mesenteric artery: MDCT angiographic findings and their probable embryological mechanisms. Eur Radiol 24: 1777-1784. Doi: 10.1007/s00330-014-3215-9
White R, Weir J, Sullivan C, Mustafa S, Yeap P, Budak M, Sudarshan T, Zealley I. 2015. The Celiac Axis Revisited: Anatomic Variants, Pathologic Features, and Implications for Modern Endovascular Management. Radio Graphics 35: 879-898. Doi:10.1148/rg.2015140243
Downloads
Published
Issue
Section
License
Copyright (c) 2020 José D. Fonseca Figueroa, Valeria L. Alvarado Rodríguez, Pedro Estrada McDermott, Verónica Morales Vindas, Kevin Leiva Gabriel, Jéssica González Fernández
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Use restricted to non commercial purposes.
Once the manuscript has been accepted for publications, authors will sign a Copyright Transfer Agreement to let the “Asociación Argentina de Anatomía Clínica” (Argentine Association of Clinical Anatomy) to edit, publish and disseminate the contribution.
