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

Principal Patterns of Arterial Supply to the Liver.

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD
Peer Review Status: Internally Peer Reviewed

Selected from dissections of 200 cadavers.

A. Typical textbook pattern of the hepatic artery with its three hepatic branches, right, left and middle.

B. Hepatic gives off right hepatic and middle hepatic; left hepatic replaced from left gastric.

C. Hepatic gives off left hepatic and middle hepatic; right hepatic replaced from superior mesenteric.

D. Hepatic gives off right, middle and left hepatic; an accessory left hepatic from left gastric.

E.Hepatic gives off right, middle, and left hepatic; an accessory right hepatic from superior mesenteric.

F. Entire hepatic trunk arises from superior mesenteric, there being no celiac hepatic artery.

AcHD, Accessory hepatic duct; AcLG, accessory left gastric; AcLH, accessory left hepatic; AcRH, accessory right hepatic; C, cystic artery; CBD, common bile duct; CD, cystic duct; CE, cardioesophageal branches; CL, caudate lobe; DP, dorsal pancreatic; Fis, fissure under gallbladder; GD, gastroduodenal; H, hepatic; HD, hepatic duct; HL, left hepatic; Mcol, middle colic; MH, middle hepatic; P, inferior phrenic; ReLH, replaced left hepatic; ReRH, replaced right hepatic; RD, retroduodenal; RG, right gastric; RGE, rightgastroepipolic; RH, right hepatic; S, splenic; SD, supraduodenal; SPD, superior pancreatoduodenal; SM, superior mesenteric; TP, transverse pancreatic.

from Michels, N.A., 1953.

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