alexa Replaced Right Hepatic Artery Entering the Porta through the Cystic Plate

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Replaced Right Hepatic Artery Entering the Porta through the Cystic Plate

Hepatic arterial anomalies are well studied and classified. Still we come across surprises in liver surgeries. Thanks to the imaging modalities that these anomalies are no more a surgical surprise. We describe one such case of hepatic arterial anomaly encountered while a right donor hepatectomy. The right hepatic artery instead of entering the porta through the hilar plate was entering through the cystic plate and then running a short subcapsular course joins the portal pedicle. The artery could have been easily damaged as a cystic artery or hilar plate artery had it not been properly studied preoperatively. There was no difficulty in the implantation. Post operatively there were no complications in general and arterial complications to be specific.

 
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