Arteria hepática izquierda de arteria gastroduodenal. Un desafío técnico durante cirugía de Whipple.

LEFT HEPATIC ARTERY (LHA) EMERGING FROM THE GASTRODUODENAL ARTERY. REPORT OF ONE CASE

Author
Ávila S, Rubén; Pontificia Universidad Católica de Chile

Vander Stelt A, Guillermo; Pontificia Universidad Católica de Chile

Navia T, Alfonso; Pontificia Universidad Católica de Chile

Altamirano M, Alejandro; Pontificia Universidad Católica de Chile

Guerra C, Juan Francisco; Pontificia Universidad Católica de Chile

Martinez C, Jorge; Pontificia Universidad Católica de Chile

Jarufe C, Nicolas; Pontificia Universidad Católica de Chile

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3962
Abstract
Anatomic variations of the hepatic artery, which occur in 30 to 50% of patients, are a very important factor to be considered for Whipple procedure. The most common variations are those coming from the superior mesenteric artery, left gastric artery and the aorta. We report a 58 years old woman with a story of one month of epigastric pain, jaundice and progressive itching. Magnetic resonance imaging showed a mass in the head of the pancreas. During pancreatoduodenectomy a left hepatic artery (LHA) emerging from the gastroduodenal artery and an accessory LHA emerging from the left gastric artery, were observed. The rest of the surgery was performed with no incidents. The patient had an uneventful postoperative evolution.
 
Anatomic variations of the hepatic artery, which occur in 30 to 50% of patients, are a very important factor to be considered for Whipple procedure. The most common variations are those coming from the superior mesenteric artery, left gastric artery and the aorta. We report a 58 years old woman with a story of one month of epigastric pain, jaundice and progressive itching. Magnetic resonance imaging showed a mass in the head of the pancreas. During pancreatoduodenectomy a left hepatic artery (LHA) emerging from the gastroduodenal artery and an accessory LHA emerging from the left gastric artery, were observed. The rest of the surgery was performed with no incidents. The patient had an uneventful postoperative evolution.
 
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