Multiple anomalies in the celiac arterial system presents as rare vascular malformations, depicting deviations of the normal vascular developmental pattern. We found a common left gastro-phrenic trunk and a hepato-spleno-mesenteric trunk arising separately from the abdominal aorta in one cadaver. We also found a common hepatic artery and a gastro-splenic trunk arising individually from the abdominal aorta in another cadaver. Even though many variations in the celiac trunk have been described earlier, the complex variations described here are not mentioned and classified by earlier literature. Knowledge of such variations has signifi cance in the surgical and invasive arterial radiological procedures in the upper abdomen.
Celiac Artery

Celiac trunk is a wide and short ventral branch. It originates from the anterior abdominal artery at the level of L1 vertebra, and divides into three branches: the left gastric, common hepatic and splenic arteries, supplying the upper abdominal organs such as stomach, liver, spleen, pancreas, and duodenum. However, there are many types of branches variations. The branches of celiac trunk are classified into several types. We establish a classification of variation type according to the origin of left gastric, common hepatic and splenic arteries, which includes hepatogastrosplenic trunk type, hepatosplenic trunk type, hepatogastric trunk type, gastrosplenic trunk type, and the others include hepatosplenomesentery trunk type, hepatogastrospleno-mesentery trunk type, hepatogastrosplenocolonic trunk type, hepatogastrosplenopancreatic trunk type, gastrospenic trunk plus hepatomesentery trunk type, hepatogastrosplenoic left liver trunk type, hepatogastro-splenopancreatoduodenal trunk type, hepatogastric trunk plus hepatosplenic trunk type. Development of celiac trunk variation type was introduced based on the classification of Lipshutz, Adachi, Michels and Zhang Nianjia. Mastering the types of branches variations is necessary for us to perform the upper abdominal operations safely and effectively.
Celiac Artery ; abnormalities ; Humans

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

No abstract available.
Celiac Artery ; Lupus Erythematosus, Systemic

Visceral artery dissection is uncommon in the absence of concurrent dissection of the aorta, iatrogenic injury from instrumentation or trauma. Spontaneous isolated visceral artery dissection is considered to be rare and most of the reported cases have been associated with the superior mesenteric artery. In addition, only a small number of cases of isolated celiac artery dissection can be found in the literature. The natural history of a celiac artery dissection is unpredictable due to the rarity of this disease, but spontaneous resolution, definite occlusion and/or aneurysm formation may occur. However, the optimal management is still controversial due to the rare nature of the disease. Here we report on a case of spontaneous isolated celiac artery dissection that improved with conservative management.
Aneurysm ; Aorta ; Arteries ; Celiac Artery ; Mesenteric Artery, Superior ; Natural History

Supra-celiac aortic cross clamping is often utilized during aortic reconstruction for aneurysmal/occlusive disease involving the pararenal aorta. However, this may be accompanied a myriad of complications related to hemodynamic disturbances, cardiopulmonary compromise and hepatic ischemia. Supra-mesenteric aortic cross clamping may be an excellent option in selected patients with suitable anatomy to minimize or avoid these complications. Herein, the merits of and technical tips for supra-mesenteric aortic cross clamping are discussed.
Aorta ; Celiac Artery ; Constriction ; Hemodynamics ; Humans ; Ischemia ; Mesenteric Artery, Superior

Celiac artery aneurysms are rare, their incidence being reported as only 4% of all visceral artery aneurysms. Atherosclerosis and medial degenerative changes are recognized main pathogenesis. They are usually asymptomatic and diagnosed incidentally, but the mortality rate of ruptured celiac artery aneurysm is approximately 80%. So one should give an aggressive surgical aid to the patients. We report 2 cases of celiac artery aneurysm which were successfully treated by elective aneurysmorrhaphy and anerysmectomy with aortoceliac bypass graft.
Aneurysm* ; Arteries ; Atherosclerosis ; Celiac Artery ; Humans ; Incidence ; Mortality ; Transplants

Axis, Cervical Vertebra* ; Celiac Artery ; Constriction, Pathologic* ; Ultrasonography*

Celiac Artery ; surgery ; Gastrointestinal Hemorrhage ; diagnosis ; Humans ; Male ; Middle Aged

A rare case in the pattern of the origin of the celiac artery was observed in the cadaver of a 64 year old Korean male and the results are summarized as follows. The superior mesenteric artery originated from the abdominal aorta at the level of the intervertebral dusk between first and second lumbar vertebra. At a point 4cm from the origin of the superior mesenteric arterr, a common trunk appeared and ran 1cm and then divided into the common hepatic artery and the splenic artery. The common hepatic artery divided into the right gastric artery and the proper hepatic artery at a point 4.5cm after the bifurcation. A common trunk formed by the left inferior phrenic artery and the lefts gastric artery arose from the abdominal aorta about 0.8cm about the origin of the celiacomesenteric trunk.
Aorta, Abdominal ; Arteries ; Cadaver ; Celiac Artery* ; Hepatic Artery ; Humans ; Male ; Mesenteric Artery, Superior ; Spine ; Splenic Artery