Preoperative embolization of replaced right hepatic artery prior to pancreaticoduodenectomy.

Aberrancy of the hepatic arterial anatomy is common. Because of its course directly adjacent to the head of the pancreas, a replaced right hepatic artery (RHA) is vulnerable to invasion by peri-pancreatic malignancies. Division of the RHA at the time of pancreaticoduodenectomy, however, may result in hepatic infarction and/or bilioenteric anastomotic complications. We report two cases of patients undergoing preoperative embolization of tumor encased replaced RHAs to allow for sufficient collateralization prior to pancreaticoduodenectomy. Copyright © 2012 Wiley Periodicals, Inc.

Citation

Jordan M Cloyd, Venita Chandra, John D Louie, Sekhar Rao, Brendan C Visser. Preoperative embolization of replaced right hepatic artery prior to pancreaticoduodenectomy. Journal of surgical oncology. 2012 Sep 15;106(4):509-12

Mesh Tags

PMID: 22374866

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