Aberrant Left Inferior Bronchial Artery Originating from the Left Gastric Artery in a Patient with Acute Massive Hemoptysis

Spontaneous mediastinal hematoma is exceedingly rare. We described such a case of a 61-year-old male with a posterior mediastinal hematoma from ruptured small aneurysm, which was ascertained <em>via</em> contrast-enhanced computed tomography examination. Subsequent super-selective angiography of left gastric artery revealed a ruptured aneurysm with contrast medium leakage, feeding vessels respectively from caudal and cranial artery. The left gastric artery branch caudally feeding aneurysm was successfully occluded, while cranially feeding artery from the branch of left bronchial artery failed to embolize due to complex anatomic factor. Our management still yields to a satisfactory outcome.

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Bronchial artery arising from the left gastric artery in a patient with massive haemoptysis

British Journal of Radiology ◽

10.1259/bjr/43298285 ◽

2006 ◽

Vol 79 (947) ◽

pp. e171-e173 ◽

Cited By ~ 5

Author(s):

H S In ◽

J-I Bae ◽

A-W Park ◽

Y W Kim ◽

S J Choi

Keyword(s):

Bronchial Artery ◽

Left Gastric Artery ◽

Gastric Artery ◽

Massive Haemoptysis

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Transcatheter Chemoembolization of a Hepatocellular Carcinoma Utilizing Lipiodol through the Pancreaticoduodenal Arcade: A Case Report

American Journal of Interventional Radiology ◽

10.25259/ajir-19-2018 ◽

2018 ◽

Vol 2 ◽

pp. 5

Author(s):

Scott P Patterson ◽

Richard G Foster

Keyword(s):

Hepatocellular Carcinoma ◽

Case Report ◽

Vascular Anatomy ◽

Left Gastric Artery ◽

Target Lesion ◽

Celiac Artery ◽

Small Hepatocellular Carcinoma ◽

Gastric Artery ◽

Variant Anatomy ◽

Pancreaticoduodenal Arcade

This case report describes the chemoembolization of a small hepatocellular carcinoma employing a lipiodol drug delivery system utilizing a novel arterial pathway. Because the target lesion was precariously located adjacent to the inferior heart border and the diaphragm, it was unsuitable for imaging-guided microwave ablation. To achieve chemoembolization, several intraprocedural adaptations were necessary, given the variant anatomy encountered and difficulty accessing the left gastric artery through a celiac artery approach. The left gastric artery was selected from a superior mesenteric artery approach through the pancreaticoduodenal arcade (Rio Branco’s arcade). This case illustrates the importance of a mastery of the vascular anatomy and variants of hepatic arterial flow.

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Prognostic impact of lymph node metastasis along the left gastric artery in esophageal squamous cell carcinoma

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01466-2 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Xuan Liu ◽

Leilei Wu ◽

Dongkun Zhang ◽

Peng Lin ◽

Hao Long ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Lymph Node ◽

Esophageal Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Cox Regression ◽

Left Gastric Artery ◽

Prognostic Impact ◽

Gastric Artery ◽

Term Survival

Abstract Background Although the incidence of lymph node (LN) metastasis (LNM) along the left gastric artery is high, its relationship with the prognosis in postoperative patients with esophageal squamous cell carcinoma (ESCC) is rarely reported. This study clarified the prognostic impact of LNM along the left gastric artery in postoperative patients with ESCC. Methods This study assessed data of 1521 patients with ESCC who underwent esophagectomy at the Sun Yat-sen University Cancer Center between March 1992 and March 2012. A chi-squared test and Mann-Whitney U test were used to explore the preliminary correlation between clinical factors and LNM along the left gastric artery. Univariate and multivariate Cox regression analyses were used to assess whether LNM along the left gastric artery was an independent predictor of overall survival. Kaplan–Meier analysis and the log-rank test were used to present a classifying effect based on LN status. Results LNM was observed in 598 patients (39.3%) and was found along the branches of the left gastric artery in 256 patients (16.8%). The patients were classified into two groups based on the presence of LNM along the left gastric artery. Patients without LNM along the left gastric artery had better cancer-specific survival than those with positive LNs (P < 0.001). Conclusions This study indicated that LNM along the left gastric artery was an important independent prognostic factor for long-term survival among ESCC patients (P = 0.011).

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Hemorrhagic Gastric Metastasis from Hepatocellular Carcinoma Successfully Treated Using Coil Embolization of the Left Gastric Artery

Internal Medicine ◽

10.2169/internalmedicine.2172-18 ◽

2019 ◽

Vol 58 (15) ◽

pp. 2179-2183

Author(s):

Michitaka Imai ◽

Toru Ishikawa ◽

Marina Okoshi ◽

Kei Tomiyoshi ◽

Yuichi Kojima ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Coil Embolization ◽

Left Gastric Artery ◽

Gastric Artery ◽

Gastric Metastasis

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The Features of Extrahepatic Collateral Arteries Related to Hepatic Artery Occlusion and Benefits in the Transarterial Management of Liver Tumors

Radiology Research and Practice ◽

10.1155/2013/535272 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Lin Yang ◽

Xiao Ming Zhang ◽

Yong Jun Ren ◽

Nan Dong Miao ◽

Xiao Hua Huang ◽

...

Keyword(s):

Hepatic Artery ◽

Liver Tumors ◽

Left Gastric Artery ◽

Artery Occlusion ◽

Gastric Artery ◽

Collateral Arteries ◽

Hepatocellular Carcinomas ◽

Collateral Artery ◽

The Common ◽

The One

Purpose. To investigate the extrahepatic collateral arteries related to hepatic artery occlusion (HAO) and to determine its benefits in the transarterial management of liver tumors.Methods and Findings. Eleven patients (7 hepatocellular carcinomas, 3 liver metastases, and 1 with hemangioma) with HAO confirmed with digital subtraction angiography (DSA) were admitted to our hospital. Of the 11 patients, 7 were men and 4 were women, with an average age of 41.5 ± 15.5 years (range: 29 to 70 years). DSA was performed to evaluate the collateral routes to the liver. In the 11 patients with HAO, DSA showed complete occlusion of the common hepatic artery in 9 patients and the proper hepatic artery (PHA) in 2 patients. Extrahepatic collateral arteries supplying the liver were readily evident. The collateral arteries originated from the superior mesenteric artery (SMA) in 8 patients, from the gastroduodenal artery in 2 patients, and from the left gastric artery (LGA) in 1 patient. Transcatheter treatment was successfully performed via the collateral artery in all patients except the one who had hemangioma.Conclusions. DSA is an effective method for detecting collateral circulation related to HAO and may provide information to guide transcatheter management decisions.

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