title: Right Accessory Hepatic Artery Arising From Celiac Trunk-Case Report of a Variation that Must Be Looked for During Multiorgan Procurement.
abstract: Knowledge of the anatomy of the hepatic artery and its variations is important to hepatobiliary and liver transplant surgeons and interventional radiologists. We report a rare anatomic variation of liver hepatic arterial supply: a right accessory hepatic artery arising directly from the celiac trunk and observed at the time of multiorgan procurement. The anatomic variation described in this case occurs in up to 2% of cases and their knowledge is essential to avoid injuries during multiorgan procurement that could require multiple anastomoses or lead to inadvertent vessel injury. This variation is very rarely reported in the medical literature. We document successful deceased-donor liver transplantation with a graft that had an accessory right accessory hepatic artery from the celiac trunk.
authors.affiliation: Hospital Federal dos Servidores do Estado, Rio de Janeiro, Brazil; Hospital São Vicente de Paulo, Rio de Janeiro, Brazil; Liver Transplant Unit, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil. Electronic address: dbastosn@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Bastos-Neves
authors.affiliation: Liver Transplant Unit, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.
authors.forename: J A
authors.initials: JA
authors.lastname: da Silva Alves
authors.affiliation: Liver Transplant Unit, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.
authors.forename: L G
authors.initials: LG
authors.lastname: Guedes Dias
authors.affiliation: Liver Transplant Unit, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.
authors.forename: M B
authors.initials: MB
authors.lastname: de Rezende
authors.affiliation: Liver Transplant Unit, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.
authors.forename: P R
authors.initials: PR
authors.lastname: Salvalaggio
mesh_terms: D002445:Celiac Artery / Q000002:abnormalities*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006499:Hepatic Artery / Q000002:abnormalities*; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D008103:Liver Cirrhosis / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D057772:Vascular System Injuries / Q000517:prevention & control