The sample with the number 410 was took from forensic medicine of examination at 6/4/2004. Case report: a rare amatomic change of liver arteries, among which 2 supplying blood for right part of liver, 2 other for left, 2 for bile sac-vascularization for the liver made from main liver artery and from a branch of diathesis artery. In the operation of endoscopic biliary cysticotomia, 2 arteries can be displayed, hemostatic manipulation can damage the right duct of the liver or the main liver duct, in case of removal liver samples, 2 arterial anastomosis must be made.
Hepatic Artery ; Liver ; Anatomy

A study on the 89 cases of selective hepatic angiography has shown that the most common anatomical changes occurred in the left hepatic artery originated from the left pyloric artery and the right hepatic artery from separated hepatic artery that originated from the celiac artery (12.4%). The left and right hepatic arteries originated together from the celiac artery (2.2%). It should implement the systematical hepatic angiography in the biliary bleeding to find the causes and it was necessary to implement the hepatic angiography before liver transplantation
Hepatic Artery ; Liver Transplantation

The author reported two cases of the variation of the hepatic arterial system through legal examination in ViÖt §øc hospital. Righ hepatic artery and left hepatic artery arise from the celiac trunk with splenic artery and left gastric artery. We emphasized that the right hepatic artery runs up, to right and behind the common bile duct and portal vein. Cystic artery is from anterior artery of the right hepatic artery. The authors also reviewed the variations of the hepatic arterial system in general and emphasized that the treat successfully the hepatic diseases should concern to the hepatic arterial system.
Hepatic Artery ; Celiac Disease

Study on 47 rounds of chemicoembolization of hepatic artery in 24 patients with 26 hepatocellular tumors has shown that the hepatic arterial chemicocellular was interventive treatment with a very little damage for health hepatic tissues in the treatment of the primary hepatocellular cancer. The primarily results of this included embolization changed the tumor into the region without blood artery and vein, this method can be applied for the big tumor that obtained the good efficacy for local or systemic lesion.
Carcinoma, Hepatocellular ; Hepatic Artery

PURPOSE: To determine the usefulness of three-dimensional CT angiography using multidetector-row CT (MDCT) for delineating the arterial anatomy of the liver. MATERIALS AND METHODS: Hepatic arterial three-dimensional CT angiography was performed using MDCT (Lightspeed Qx/I; GE Medical Systems, Milwaukee, Wis., U.S.A.) in 45 patients with HCC undergoing conventional angiography for transcatheter hepatic arterial chemoembolization. The scanning parameters during the early arterial phase were 2.5 mm slice thickness, 7.5 mm rotation of table speed, and a pitch of 3. Images were obtained by one radiologist using maximum intensity projection from axial CT images obtained during the early arterial phase. Two radiologists blinded to the findings of conventional angiography independently evaluated the hepatic arterial anatomy and the quality of the images obtained. RESULTS: Compared with conventional angiography, reader A correctly evaluated the hepatic arterial anatomy depicted at three-dimensional CT angiography. Reader B's evaluation was correct in 40 of 45 patients. Interobserver agreement was good (kappa value, 0.73), and both readers assessed the quality of three-dimensional CT angiography as excellent. CONCLUSION: Three-dimensional CT angiography using MDCT was accurate for delineating the arterial anatomy of the liver, and interobserver agreement was good. The modality may provide, prior to conventional angiography, valuable information regarding a patient's hepatic arterial anatomy.
Angiography* ; Hepatic Artery* ; Humans ; Liver

We present two cases of compression of the common hepatic duct by overriding of the right hepatic artery. One case is gall bladder, common hepatic duct stone and one case is right intrahepatic duct stone. We observed the compression of the common hepatic duct caused by overriding of the right hepatic artery in the both cases. The final diagnosis was made at operative fields. These patient were successfully treated by dissection of adhesion, suture, fixation between gall bladder bed and right hepatic artery.
Diagnosis ; Hepatic Artery* ; Hepatic Duct, Common* ; Humans ; Sutures ; Urinary Bladder

Neonatal Hemangioendothelioma (HE) is the most common type of hepatic vascular tumor that presents in infancy. HE generally undergo spontaneous regression within a year, but it may become symptomatic and be associated with life-threatening complications including congestive heart failure, consumptive coagulopathy and hepatic rupture. We report five cases of neonatal hepatic HE with brief review of the literatures. The report include a case of HE associated with AV malformation complicated by congestive heart failure who was successfully treated by hepatic artery embolization, a case of HE associated with transposition of great artery (TGA), and three cases of asymptomatic HE with spontaneous involution.
Arteries ; Heart Failure ; Hemangioendothelioma* ; Hepatic Artery ; Rupture

PURPOSE: We wanted to assess the usefulness of MRCP after intravenous morphine administration in the evaluation of the hepatopancreatic pancreatico-biliary ductal system. MATERIALS AND METHODS: We studied 15 patients who were suspected of having disease of hepatopancreatic ductal system and they did not have any obstructive lesion on ultrasonography and/or CT. MRCP was acquired before and after morphine administration (0.04 mg/kg, intravenously). Three radiologists scored the quality of the images of the anatomic structures in the hepatopancreatic ductal system. We directly compared the quality of the images obtained with using the two methods and the improvement of the artifacts by pulsatile vascular compression. RESULTS: The MRCP images obtained after intravenous morphine administration were better than those obtained before morphine administration for visualizing the hepatopancreatic ductal system. On direct comparison, the MRCP images obtained after morphine administration were better in 12 cases, equivocal in two cases, and the images before morphine administration were better in only one case. In three patients, MRCP before morphine injection showed signal loss at the duct across the pulsatile hepatic artery. In two of three patients, MRCP after morphine injection showed no signal loss in this ductal area. CONCLUSION: MRCP after intravenous morphine administration enables physicians to see the hepatopancreatic ductal system significantly better and the artifacts caused by pulsation of the hepatic artery can be avoided.
Artifacts ; Hepatic Artery ; Humans ; Morphine* ; Ultrasonography

The hepatocellular cancer is the fourth position among cancer, the morbidity rate is increasingly. According to the size of tumor, an operation was implemented for tumor removal and hepatic arterial legation. For recent years, the army central hospital 108 have implemented to inject the ethanol for treatment of hepatocellular cancer for hepatic tumors with diameter of 3 cm and the tumors with diameter of 5 cm which found that the survival rate after 3 years of the ethanol injection was 90%. Recently the ethanol injection has been implemented by guidance of ultrasound for 6 patients (male: 5, female: 1) with ages of 54 - 75, and tumor’s diameter of 2.6-7cm and has obtained the results: pain free, appetite, weight gain, free fever (if having fever), less jaundice, normal or reduced alpha FP, and 1 patients lived more 13 months and 1 patient lived more 20 months after the treatment. These results suggested that ethanol injection was effective, economic solutions and lasts the life of patients.
Carcinoma, Hepatocellular ; Ethanol ; Therapeutics ; Hepatic Artery

No abstract available.
Aneurysm, False* ; Embolization, Therapeutic* ; Hepatic Artery*