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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Common Hepatic and Right Hepatic Artery Variations.

Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System

Common Hepatic and Right Hepatic Artery Variations.

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed

Image of common hepatic and right hepatic artery variations

ALH, accessory left hepatic artery; ARH, accessory right hepatic; C, cystic; CA, celiac (axis); GD, gastroduodenal; LG, left gastric; LH, left hepatic; RG, right gastric; RH, right hepatic; RRH, replacing right helbatic; S, splenic; SM, superior mesenteric.

Daseler et al. provide the following summary:
Origin, of common hepatic (or hepatic) artery; 500 cases: celiac, 416; superior mesenteric, 22; aorta, 1; absent, 61.

Location of hepatic (common hepatic) artery; 439 cases: left of common bile duct, 431; posterior to same, 7; anterior to same, 1. Origin of right hepatic artery (right ramus of hepatic proper); 500 cases: common hepatic, 415; superior mesenteric, 56; replacing common hepatic, 23; celiac, 4; aorta, 1.

Origin of accessory right hepatic artery; 36 cases: superior mesenteric, 15; left hepatic, 13; gastroduodenal, 5; celiac, 2; aorta, 1.

Location of right hepatic artery; 500 cases: posterior to common hepatic duct, 325; anterior to common hepatic duct, 58; posterior to common bile duct, 58; right of duct system, 22; posterior to right and left hepatic ducts, 18; left of duct system, 8; anterior to common bile duct, 7; anterior to right and left hepatic ducts, 4.

Redrawn from Daseler, E.H., Anson, B.J., Hambley, W.C. and A.F. Reimann. The cystic artery and constituents of the hepatic pedicle. A study of 500 specimens. Surg. Gynecol. Obstet. 85:47-63, 1947.

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