International Journal of Anatomy and Research

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Type of Article : Original

Year: 2015 | Volume 3 | Issue 1 | Page No. 947-953

Date of Publication: 31-03-2015



Kavitha Kamath. B.

Assistant Professor, Department of Anatomy, Shimoga Institute of Medical Sciences, Karnataka, India.

Address: Dr. Kavitha Kamath. B, Assistant Professor, Department of Anatomy, Shimoga Institute of Medical Sciences, Sagar Road, Shimoga, Karnataka. 577201, India.


Background: With increase in the number of laparoscopic procedures, oncologic surgical interventions and organ transplant cases, anatomy and variations of hepatic arterial system have become increasingly important. Variations in these vessels may predispose the patients to inadvertent injury during open surgical procedures or percutaneous interventions.
Aims: The present study is intended to contribute to the pre-existing data regarding the variations in the branching pattern of hepatic artery and throw light on their clinical implications.
Methods: Extrahepatic branching pattern of hepatic arteries were studied in 40 embalmed cadavers of both sexes by dissection method.
Results: Classical text book pattern of hepatic arterial anatomy was seen in 30(75%) cases and ten (25%) cases showed the presence of aberrant hepatic arteries. 12 aberrant hepatic arteries were seen in these ten cases, eight (20%) cases with single aberrant hepatic artery and two (5%) with combination of aberrant right and left hepatics. Aberrant right hepatic arteries were seen in four (10%) cases and all of them were replaced right hepatics arising directly from celiac trunk. Aberrant left hepatic arteries were seen in eight (20%) cases, of which six (15%) were accessory, two (5%) were replaced and all of them arose from the left gastric artery.
Conclusion: Because of high incidence of variations in branching pattern of hepatic artery it is very important to have a thorough knowledge of these variants and identify them so as to prevent iatrogenic injuries and increase rate of success of the surgical and interventional procedures in hepatobiliary region.
KEY WORDS: Aberrant Hepatic Artery, Accessory Hepatic Artery, Replaced Hepatic Artery, Liver Transplantation, Hepatic Arterial Infusion Chemotherapy.


  1. Jones RM, Hardy KJ. The hepatic artery: A reminder of surgical anatomy. J R Coll Surg Edinb 2001;46:168-170.
  2. Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT. Variant hepatic arterial anatomy revisited: Digital subtraction angiography performed in 600 patients. Radiology 2002;224:542-47.
  3. Michels NA. Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. Philadelphia:JB Lippincott Co;1955.p 26-270.
  4. Flint ER. Abnormalities of the right hepatic, cystic and gastroduodenal arteries and of bile ducts. Brit J Surg 1922-23;10:509-19.
  5. Hiatt JR, Gabbay J, Busuttil RW. Surgical Anatomy of the Hepatic Arteries in 1000 Cases. Ann Surg 1994;220:50-52.
  6. Nigam G, Lawani R, Agrawal K, Chauhan K. Evaluation Of Branching Pattern of Hepatic Artery. The Internet Journal of Gastroenterology [Internet]. 2012 [cited 2014 Dec 16];11:[about 9 p.]. Available from:
  7. Lopez-Andujar R, Moya A, Montalva E, Berenguer M, De Juan M, San Juan F, et al. Lessons learned from anatomic variants of the hepatic artery in 1081 transplanted livers. Liver Tranpl 2007;13:1401-04.
  8. Eaton PB. The celiac axis. Anat Rec 1917;13:369-74.
  9. Adachi B. Das Arteriensystem der Japaner. Tokyo:Kenkyusha Press;1928.Band II 46-60.
  10. Suzuki T, Nakayasu A, Kawabe K, Takeda H, Honjo I. Surgical significance of anatomic variations of hepatic artery. Am J Surg 1971;122:505-12.
  11. Bhargava KN, Rao CGS, Aziz AMH. A study of hepatic arterial pattern in one hundred cadavers. Indian J Med Sci 1980;32:293-97.
  12. Sehgal G, Srivastava AK, Sharma PK, Kumar N, Singh R. Variations of Extrahepatic Segments of Hepatic Arteries: A Multislice Computed Angiography study. International Journal of Scientific and Research Publications 2013;3:1-8.
  13. Sangam MR. Replaced right hepatic artery arising from superior mesenteric artery. Indian Journal of Basic and Applied Medical Research 2013;3:1-5.
  14. Chaib E, De Souza YEDM, Marcelo Y, Maruyama, Marinucci LFB, Aranha MR et al. Left Hepatic Artery Arising from the Superior Mesenteric Artery: A Case Study of a Rare Anatomic Variation. The Open Anatomy Journal 2010;2:76-78.
  15. Sugavasi R, Manupati S, Bandi S, Indira B, Jetti R. Origin of Accessory left hepatic artery from the left gastric artery in a south Indian cadaver: Its clinical importance. Anatomy Journal of Africa 2012;1:10-12.
  16. Nayak SB, Sudarshan S, Venumadhav N, Sirasanagandla SR. Unusual branching pattern of common hepatic artery- A case report. International Journal of Anatomical Variations 2012;5:126-27.
  17. Chiang KH, Chang PY, Lee SK, Yen PS, Ling CM, Lee WH et al. Angiographic Evaluation of Hepatic Artery Variations in 405 cases. Chin J Radiol 2005;30:75-81.
  18. De Santis M, Ariosi P, Calo GF, Romagnoli R. Hepatic arterial vascular anatomy and its variants. Radiol Med (Torino) 2000;100:145-151.
  19. Mugunthan N, Jansirani DD, Felicia C, Anbalagan J. Anatomical variations in arterial supply of liver. International Journal of Anatomical Variations 2012:5:107-109.
  20. Panagouli E, Venieratos D. Right accessory hepatic artery arising from the left gastric artery: A case report. Rom J Morphol Embryol 2011;52:1143-45.
  21. RammohanA, Palaniappan R, Pitchaimuthu A, Rajendran K, Perumal SK, Balaraman K et al. Implications of the presence of an aberrant right hepatic artery in patients undergoing pancreaticoduodenectomy. World Journal of  Gastroenterology 2014;6:9-13.
  22. Mendes VM, Nasser HA, Nassif GB, Choukr A. Prebiliary right hepatic artery resulting in common hepatic duct compression and subsequent intrahepatic stone formation: Myth or Reality? Case Reports in Medicine 2014;1:1-3.
  23. Jansirani D, Mugunthan N, Phalgunan V, Shivadeep S. Caterpillar hump of right hepatic artery: incidence and surgical significance. National Journal of Clinical Anatomy 2012;1:121-24.
  24. Abid B, Douard R, Chevallier JM, Delmas V. Left hepatic artery: Anatomical variations and clinical implications. Morphologie 2008;92:154-61.
  25. Standring S. Liver. Gray’s Anatomy: The anatomical basis of clinical practice, 40th ed. Spain: Churchill Livingstone Elsivier;2008.p.1169-70.
  26. Nakamura H, Uchida H, Kuroda C, Yoshioka H, Tokunaga K, Kitatani T, et al. Accessory Left Gastric Artery Arising from Left Hepatic Artery: An Angiographic Study. Am J Roentgenol 1980;134:529-532.
  27. Takeuchi N, Shioyama Y. Case of Gastric Perforation after TAI (transcatheter arterial infusion) of SMNACS with Special Reference to Accessory Left Gastric Artery. Japanese Journal of Cancer and Chemotherapy 2005;32:547-51.
  28. Muhammad S, Ahmad RA. Duplication of hepatic artery. The Saudi J Gastroenterol 2001;7:103-8.






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