Replaced gastroduodenal artery: Added benefit of the "artery first" approach during pancreaticoduodenectomy - A case report

George Younan, Munyaradzi Chimukangara, Susan Tsai, Douglas B. Evans, Kathleen K. Christians

Research output: Contribution to journalArticle

Abstract

Introduction Variations in hepatic arterial anatomy are frequently encountered in pancreas and liver surgery. These aberrancies add technical complexity to the procedure and can result in significant patient morbidity if these vascular nuances are not recognized. Presentation of case We report a case whereby a superior mesenteric artery first approach was used to locate and preserve an aberrant left hepatic artery arising from a replaced gastroduodenal artery emanating from the SMA during pancreaticoduodenectomy. The procedure was done for resection of a large duodenal adenoma. Discussion High-quality preoperative imaging and mastery in surgical expertise are requirements for identification and preservation of aberrant hepatic arterial anatomy during procedures involving vital intra-abdominal organs. Conclusion Our aim is to provide awareness of rare vascular anomalies encountered during pancreaticoduodenectomy and provide a unique method for successful management.

Original languageEnglish (US)
Pages (from-to)93-97
Number of pages5
JournalInternational Journal of Surgery Case Reports
Volume23
DOIs
StatePublished - 2016
Externally publishedYes

Keywords

  • Artery first
  • Pancreaticoduodenectomy
  • Replaced gastroduodenal artery

ASJC Scopus subject areas

  • Surgery

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