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Aberrant Right Hepatic Artery with a Prepancreatic Course Visualized Prior to Pancreaticoduodenectomy

Venara, A. ; Pittet, O. ; Lu, T. ; Demartines, N. ; Halkic, N.

In: Journal of Gastrointestinal Surgery, 2013, vol. 17, no. 5, p. 1024-1026

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    Titre
    • Aberrant Right Hepatic Artery with a Prepancreatic Course Visualized Prior to Pancreaticoduodenectomy
    Auteur
    • Venara, A.. Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois, 46 rue du Bugnon, 1011, Lausanne, Switzerland
    • Pittet, O.. Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois, 46 rue du Bugnon, 1011, Lausanne, Switzerland
    • Lu, T.. Department of Radiology, Centre Hospitalier Universitaire, 46 rue du Bugnon, 1011, Lausanne, Switzerland
    • Demartines, N.. Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois, 46 rue du Bugnon, 1011, Lausanne, Switzerland
    • Halkic, N.. Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois, 46 rue du Bugnon, 1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Journal of Gastrointestinal Surgery, 2013, vol. 17, no. 5, p. 1024-1026. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316862
    Summary
    Liver vascularization is known to present with several different variations. Generally, a normal vascular anatomy is reported in up to 50-80 % of cases. For this reason, a precise preoperative mapping of the hepatic vascularization prior to pancreatic surgery is essential to avoid injuries and subsequent complications. We report here a case of a young patient scheduled for Whipple procedure, who presented an arterial pattern type Michels IV, variation reported in 0.6 to 3 % in the literature. Another interesting particularity of this case was the fact that the right hepatic artery had a prepancreatic course. We think that every surgeon performing hepatopancreatic surgery should have heard of this special and rare situation