scholarly journals Obstructive Jaundice Due to Hilar Bile Duct Compression with Encasement of the Right Hepatic Artery

2009 ◽  
Author(s):  
Ryusuke Ito
Keyword(s):  
Bile Duct ◽  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Right Hepatic Artery ◽  
Hilar Bile Duct ◽  
The Right

scholarly journals Right Hepatic Artery: A Cadaver Investigation and Its Clinical Significance

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Usha Dandekar ◽  
Kundankumar Dandekar ◽  
Sushama Chavan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Artery ◽  
Hepatic Duct ◽  
Common Hepatic Duct ◽  
Normal Anatomy ◽  
Surgical Safety ◽  
Right Hepatic Artery ◽  
The Common ◽  
The Right

The right hepatic artery is an end artery and contributes sole arterial supply to right lobe of the liver. Misinterpretation of normal anatomy and anatomical variations of the right hepatic artery contribute to the major intraoperative mishaps and complications in hepatobiliary surgery. The frequency of inadvertent or iatrogenic hepatobiliary vascular injury rises with the event of an aberrant anatomy. This descriptive study was carried out to document the normal anatomy and different variations of right hepatic artery to contribute to existing knowledge of right hepatic artery to improve surgical safety. This study conducted on 60 cadavers revealed aberrant replaced right hepatic artery in 18.3% and aberrant accessory right hepatic artery in 3.4%. Considering the course, the right hepatic artery ran outside Calot’s triangle in 5% of cases and caterpillar hump right hepatic artery was seen in 13.3% of cases. The right hepatic artery (normal and aberrant) crossed anteriorly to the common hepatic duct in 8.3% and posteriorly to it in 71.6%. It has posterior relations with the common bile duct in 16.7% while in 3.4% it did not cross the common hepatic duct or common bile duct. The knowledge of such anomalies is important since their awareness will decrease morbidity and help to keep away from a number of surgical complications.

Pseudoaneurysms of the right hepatic artery causing obstructive jaundice: Endovascular management

VASA ◽  
2014 ◽  
Vol 43 (4) ◽  
pp. 298-302 ◽  
Author(s):  
Nicole Hassold ◽  
Franziska Wolfschmidt ◽  
Jan P. Goltz ◽  
Ralph Kickuth ◽  
Thorsten Bley
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Endovascular Management ◽  
Right Hepatic Artery ◽  
The Right

IS COMPRESSION OF THE COMMON BILE DUCT BY THE RIGHT HEPATIC ARTERY A POTENTIAL CAUSE OF INTRAHEPATIC STONES?

2018 ◽  
Author(s):  
V Perri ◽  
V Bove ◽  
A Tringali ◽  
I Boškoski ◽  
B Federico ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Artery ◽  
Intrahepatic Stones ◽  
Right Hepatic Artery ◽  
The Common ◽  
The Right

scholarly journals Pseudoaneurysm of the right hepatic artery and bile duct necrosis as a complication of acute cholecystitis in a diabetic patient

2011 ◽  
Vol 2011 (3) ◽  
pp. 4-4 ◽  
Author(s):  
R Ramirez-Maldonado ◽  
E Ramos ◽  
J Dominguez ◽  
R Mast ◽  
L Llado ◽  
...  
Keyword(s):  
Bile Duct ◽  
Diabetic Patient ◽  
Acute Cholecystitis ◽  
Hepatic Artery ◽  
Right Hepatic Artery ◽  
The Right

P.08.26 IS COMPRESSION OF THE COMMON BILE DUCT BY THE RIGHT HEPATIC ARTERY A POTENTIAL CAUSE OF INTRAHEPATIC STONES?

2018 ◽  
Vol 50 (2) ◽  
pp. e215
Author(s):  
V. Perri ◽  
V. Bove ◽  
A. Tringali ◽  
I. Boškoski ◽  
R. Landi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Artery ◽  
Intrahepatic Stones ◽  
Right Hepatic Artery ◽  
The Common ◽  
The Right

Gastroduodenal Artery as the Inflow Tract to Repair the Right Hepatic Artery in a Combined Vasculobiliary Injury after Laparoscopic Cholecystectomy

2007 ◽  
Vol 73 (9) ◽  
pp. 888-889
Author(s):  
Kamran Khanmoradi ◽  
Werviston Defaria ◽  
Ronald E. Moore ◽  
Ralph Guarneri ◽  
Andreas G. Tzakis
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Hepatic Artery ◽  
Bile Duct Injury ◽  
Arterial Injury ◽  
Right Hepatic Artery ◽  
Artery Injury ◽  
Hepatic Artery Injury ◽  
The Right ◽  
Vasculobiliary Injury

The frequency and significance of right hepatic artery injury associated with bile duct injury after laparoscopic cholecystectomy is unknown. Many reports suggest that a concomitant arterial injury worsens the outcome and prognosis of the bile duct injury even after an initially successful biliary repair. The optimal management of this complicated injury is controversial. We report a surgical technique to repair the right hepatic artery injury in these cases. We believe this technique is useful for surgeons who opt to repair the arterial injury at the time of biliary reconstruction, especially if it is performed soon after the injury occurred, before permanent damage to the liver and biliary system is established. To the best of our knowledge, this technique was not reported in the literature previously.

scholarly journals Obstructive Jaundice Due to Compression of the Common Bile Duct by Variant Right Hepatic Artery

2014 ◽  
Vol 19 (2) ◽  
pp. 79-83
Author(s):  
Min Jae Kim ◽  
Young Choi ◽  
Gun Jung Youn ◽  
Rae Seok Lee ◽  
Jong Ho Park ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Right Hepatic Artery ◽  
The Common

Percutaneous Trans-Hepatic Embolization of an Iatrogenic Extra-Hepatic Pseudoaneurysm of the Right Hepatic Artery in a Patient With Previous Occlusion of the Proper Hepatic Artery: An Endovascular Procedure to Avoid a Difficult Surgical Repair

2021 ◽  
pp. 153857442110225
Author(s):  
Giuseppe S. Gallo ◽  
Roberto Miraglia ◽  
Luigi Maruzzelli ◽  
Francesca Crinò ◽  
Christine Cannataci ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatic Artery ◽  
Surgical Repair ◽  
Endovascular Embolization ◽  
Proper Hepatic Artery ◽  
Ultrasound Guided ◽  
Complete Occlusion ◽  
Right Hepatic Artery ◽  
Ultrasonographic Guidance ◽  
The Right

We report a case of successful percutaneous transhepatic, embolization of an iatrogenic extra-hepatic pseudoaneurysm (PsA) of the right hepatic artery (RHA) under combined fluoroscopic and ultrasonographic guidance. A 73-year-old man underwent percutaneous transhepatic biliary drainage placement in another hospital, complicated by haemobilia and development of a RHA PsA. Endovascular embolization was attempted, resulting in coil embolization of the proper hepatic artery, and persistence of the PsA. At this point, the patient was referred to our hospital. Computed tomography and direct angiography confirmed the iatrogenic extra-hepatic PsA of the RHA, refilled by small collaterals from the accessory left hepatic artery (LHA) and coil occlusion of the proper hepatic artery. Attempted selective catheterization of these vessels was unsuccessful due to the tortuosity and very small caliber of the intra-hepatic collaterals, the latter precluding endovascular treatment of the PsA. Percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA was performed with Lipiodol® and cyanoacrylate-based glue (Glubran®2). Real time fluoroscopic images and computed tomography confirmed complete occlusion of the pseudoaneurysm. Surgical repair, although feasible, was considered at high risk. In our patient, we decided to perform a percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA using a mix of Lipiodol® and Glubran®2 because of the fast polymerization time of the glue allowing the complete occlusion of the PsA in few seconds, thus eliminating the risk of coil migration, reducing the risk of PsA rupture and avoid a difficult surgical repair.

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