Matsusue, "Pancreaticoduodenectomy for carcinoma of the ampulla of Vater with
common hepatic artery originated from hepatomesenteric trunk, passing through the pancreatic head: report of a case (in Japanese)," Japanese Journal of Gastroenterological Surgery, vol.
1: celiac trunk, 2:
common hepatic artery, 3: splenic artery, 4: left gastric artery, 5: accessory left gastric artery, 6: posterior gastric artery, 7: left gastroepiploic artery 8: splenic vein, 9: spleen, 10: pancreas, 11: caudate lobe of the liver, and 12: stomach.
Caption: Figure 4: CT angiogram indicated dissection of
common hepatic artery as well as aneurysms of the
common hepatic artery (maximum diameter, 8 mm) and bilateral renal artery (maximum diameter, 5 mm).
After ligation of the splenic artery and left gastric artery, the cadavers were injected with red synthetic latex via the
common hepatic artery, and dissected 7 days later.
Although studies are performed on various other arteries little or no data is available regarding use of
common hepatic artery (CHA) so we used CHA as medium sized muscular artery in our research to see effects of aging.
It divides into three branches: the left gastric artery, the splenic artery, and the
common hepatic artery. The celiac axis gives arterial supply to the liver, gallbladder, spleen, pancreas, and gut from the distal esophagus to the ampullary region.
The
common hepatic artery was present in 28 (28%) cadavers as the last artery, the splenic artery in 6 (6%) and both arteries at the same level, as terminal branches, in 48 (48%) out of the 82 studied cadavers.
The patients with complete occlusion of the
common hepatic artery (CHA) or the proper hepatic artery (PHA) related to interventional procedures were included in this study.
The arterial anastomosis is slightly more difficult as only the left hepatic artery is available; this is usually anastomosed to the recipient
common hepatic artery. The biliary anastomosis is technically difficult because it is performed at the level of the right or left hepatic duct.
The vessel cutoff sign is depicted at the origin of the
common hepatic artery (CHA) on the coronal MIP reconstructed computed tomography angiography (Fig.
The tumour was found to be infiltrating a small portion of
common hepatic artery and main portal vein.
--pT4: Tumor invades main portal vein or its branches bilaterally, or the
common hepatic artery, or the second-order biliary radicals bilaterally, or unilateral second-order biliary radicals with contralateral portal vein or hepatic artery involvement