Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System
Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD
Peer Review Status: Internally Peer Reviewed
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 hepatic; S, splenic; SM, superior mesenteric.
In addition to the origins shown here, the authors found that the cystic artery also arose in three instances from an accessory or a replacing type of right hepatic artery which arose from the celiac trunk. (Number of specimens, 500.)
Daseler et al. provide the following summary:
Origin of cystic artery; 580 cases: right division of regular hepatic, 416; right hepatic from superior mesenteric, 90; left hepatic, 36; common hepatic, 16; gastrocluodenal, 15; replacing or accessory right hepatic, 3; celiac, 2; superior mesenteric, 1; superior pancreaticoduodenal, 1.
Origin of accessory cystic artery; 65 cases: right hepatic, 50; gastroduodenal, 6; common hepatic, 4; left hepatic, 3; accessory right hepatic from superior mesenteric, 2.
Origin of single replacing cystic artery; 120 cases: replacing right hepatic from superior mesenteric, 36; left hepatic, 27; right hepatic from replacing common hepatic, 21; accessory right hepatic from superior mesenteric, 12; common hepatic, 11; gastrocluodenal, 6; accessory right hepatic from celiac, 3; celiac, 2; superior mesenteric, 1 ; superior pancreaticoduodenal, 1.
Origin of dual replacing cystic arteries, 15 cases: both from right hepatic branch of superior mesenteric, 7; replacing right hepatic and left hepatic, 3; both from left hepatic, 1; gastroduodenal and accessory right hepatic, 1; gastroduodenal and right hepatic branch from celiac, 1; gastroduodenal and left hepatic, 1; gastrocluodenal and right hepatic branch of superior mesenteric, 1.
Location of cystic artery; 580 vessels: *Chalot's triangle, 405; anterior to common hepatic duct, 123; anterior to common bile duct, 17; posterior to common hepatic duct, 12; between hepatic ducts, 6; anterior to cystic duct and right hepatic duct, 6; right of duct system, 5; posterior to common bile duct, 3; left of duct system, 2; posterior to cystic duct and right hepatic duct, 1.
Authors' note: *Chalot's triangle is formed by the common hepatic and cystic ducts.
Redrawn from Daseler, E.H., Anson, B.J., Hambley, WC. 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.
Section Top | Title Page
Please send us comments by filling out our Comment Form.
All contents copyright © 1995-2017 the Author(s) and Michael P. D'Alessandro, M.D. All rights reserved.
"Anatomy Atlases", the Anatomy Atlases logo, and "A digital library of anatomy information" are all Trademarks of Michael P. D'Alessandro, M.D.
Anatomy Atlases is funded in whole by Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Anatomy Atlases is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.