title: [Hepatic artery variants originating from the superior mesenteric artery--the surgical implications].
abstract: The hepatic accessory (or aberrant) arteries appear as a consequence of modifications during the embryological development of the splanchnic arterial system. These arteries emerge from the first segment of the superior mesenteric artery and have a variable trajectory, of importance being the relations with the head of the pancreas and with the extra-hepatic biliary ducts. Taking into account the appreciable frequency of these arteries (19.5%), the relations and the surgical implications, I consider that the presence of these arteries should be determined mandatory by means of selective pre-surgical arteriography; when this procedure is not available the presence of extra-arteries emerging from the superior mesenteric artery (S.M.A.) can be speculated when pulsations in the free border of the lesser omentum are detected.
authors.affiliation: Catedra de Anatomie, Facultatea de Medicină, Universitatea de Medicina si Farmacie Gr. T. Popa, Iaşi.
authors.forename: D
authors.initials: D
authors.lastname: Păduraru
mesh_terms: D000792:Angiography; D002445:Celiac Artery / Q000000981:diagnostic imaging; D006499:Hepatic Artery / Q000002:abnormalities / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000002:abnormalities / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000601:surgery