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Hepatic artery proper

From Wikipedia, the free encyclopedia
Artery supplying blood to the liver and gallbladder
Blood vessel
Hepatic artery proper
Thehepatic artery proper branches from thecommon hepatic artery.
Inferior surface of the liver. (Entrance for hepatic artery labeled at bottom center.)
Details
SourceCommon hepatic artery
Identifiers
Latinarteria hepatica propria
TA98A12.2.12.029
TA24227
FMA14772
Anatomical terminology

Thehepatic artery proper (alsoproper hepatic artery) is the artery that supplies theliver andgallbladder. It raises from thecommon hepatic artery, a branch of theceliac artery.

The HAP accounts for 10% of hepatic blood flow and 30% of its oxygen supply, with the rest provided by theportal vein; this double blood supply makes the liver far more resilient to vascular disease than other major organs.[1]

Structure

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The hepatic artery proper arises from the common hepatic artery and runs alongside theportal vein and thecommon bile duct to form theportal triad. A branch of the common hepatic artery – thegastroduodenal artery gives off the smallsupraduodenal artery to theduodenal bulb. Then theright gastric artery comes off and runs to the left along the lesser curvature of the stomach to meet theleft gastric artery, which is a branch of theceliac trunk. It subsequently bifurcates into the right and left hepatic arteries.

Variant anatomy

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Of note, the right and left hepatic arteries may demonstratevariant anatomy. A misplaced right hepatic artery may arise from thesuperior mesenteric artery (SMA) and a misplaced left hepatic artery may arise from theleft gastric artery. Thecystic artery generally comes from the right hepatic artery.[2]

Other variants of right hepatic artery includes: arising directly from the proximal or middle part of common hepatic artery, gastroduodenal artery, superior mesenteric artery, celiac axis, aorta, splenic artery, or left gastric artery instead of arising from proper hepatic artery.[3]

Additional images

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  • Proper hepatic artery
    Proper hepatic artery
  • Abdominal portion of the sympathetic trunk, with the celiac and hypogastric plexuses.
    Abdominal portion of the sympathetic trunk, with the celiac and hypogastric plexuses.
  • Horizontal disposition of the peritoneum in the upper part of the abdomen.
    Horizontal disposition of the peritoneum in the upper part of the abdomen.
  • Hepatic artery proper. Visceral surface of liver.
    Hepatic artery proper. Visceral surface of liver.

References

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  1. ^Cross, Simon S. (2013).Underwood's Pathology: a Clinical Approach (6th ed.). p. 362.ISBN 978-0-7020-4672-8.
  2. ^Balija, M; Huis, M; Nikolic, V; Stulhofer, M (1999). "Laparoscopic visualization of the cystic artery anatomy".World Journal of Surgery.23 (7):703–7, discussion 707.doi:10.1007/pl00012372.PMID 10390590.S2CID 23174989.
  3. ^Choi TW, Chung JW, Kim HC, Lee M, Choi JW, Jae HJ, Hur S (August 2021)."Anatomic Variations of the Hepatic Artery in 5625 Patients".Radiology: Cardiothoracic Imaging.3 (4) e210007.doi:10.1148/ryct.2021210007.PMC 8415139.PMID 34498005.

External links

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Abdominal
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Inferior phrenic
Celiac
Left gastric
Common hepatic
Splenic
Superior mesenteric
Suprarenal
Renal
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Lumbar
Inferior mesenteric
Common iliac
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Superior vesical artery
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