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An extremely uncommon variation of left hepatic artery around the esophagus: a case report
Author(s) -
Altaca Gulum,
Karakayali Hamdi,
Haberal Mehmet
Publication year - 2009
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2008.00896.x
Subject(s) - medicine , esophagus , left gastric artery , artery , surgery , stomach , common hepatic artery , anatomy
An extremely rare case of a replaced left hepatic artery (LHA) around the esophagus in a deceased multi‐organ donor is reported. The liver could not be harvested unless either of the LHA or the esophagus was transected. This is the second report of a LHA off the left gastric artery with such a peculiar course around the esophagus. Whether to cut the artery or the hollow viscus in such a situation is controversial; nevertheless, a surgeon must precisely identify all the extrahepatic arteries during liver harvest, to prevent injuries that might result in compromised complete arterialization of the graft.