Supraduodenal and Right Gastric Arteries Originating from A Common Trunk: A Rare Anatomical Variant.

Noriaki Wada, Koji Yamashita, Seitaro Shin, Shino Harada, Kiyomi Furuya, Hajime Imamura, Yuko Takami, Tomoyuki Noguchi
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Abstract

Knowledge of the anatomic variations of the supraduodenal artery (SDA) and right gastric artery (RGA) is necessary to reduce the procedure time and radiation exposure dose, as well as to avoid unexpected complications of catheter placement before hepatic arterial infusion chemotherapy. The SDA and RGA most commonly arise from the gastroduodenal artery (GDA) and the proper hepatic artery, respectively; however, they can branch from the left hepatic artery (LHA). In addition, the SDA frequently anastomoses with the RGA and occasionally with the GDA. We observed a rare anatomic variant of SDA and RGA originating from the LHA as a common trunk. The patient also had a variant of SDA communicating with the GDA. It is important for interventional radiologists to be aware of these variations.

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腹上动脉和右胃动脉起源于一个共同的主干:一个罕见的解剖变异。
了解十二指肠上动脉(SDA)和胃右动脉(RGA)的解剖变化对于减少手术时间和放疗剂量,避免肝动脉输注化疗前置管的意外并发症是必要的。SDA和RGA最常见于胃十二指肠动脉(GDA)和肝固有动脉;然而,它们可以从左肝动脉(LHA)分支出来。此外,SDA经常与RGA吻合,偶尔与GDA吻合。我们观察到一种罕见的SDA和RGA的解剖变异起源于LHA作为一个共同的干。患者也有与GDA通信的SDA变异。对于介入放射科医生来说,了解这些变化是很重要的。
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