Journal Information
Vol. 80. Issue 3.
Pages 214-216 (July - September 2015)
Vol. 80. Issue 3.
Pages 214-216 (July - September 2015)
Clinical image in gastroenterology
Open Access
Anatomic variation of the left hepatic artery
Variante anatómica de la arteria hepática izquierda
J.I. Ortiz de Elguea-Lizárragaa, Z.J. del Real-Romoa, L. Paláu-Dávilaa, E. Flores-Villalbab,
Corresponding author

Corresponding author. Instituto de cirugía. Hospital Zambrano-Hellion, Batallón de San Patricio # 115, Col. Valle Oriente, San Pedro Garza García, NL., México. CP 66278, Tel.: +52 (81) 88 88 36 10.
a School of Medicine and Health Sciences, Tecnológico de Monterrey – TEC Salud, Monterrey, Nuevo León, Mexico
b Innovation in Design and Technology Center, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
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A 32-year-old woman suffered brain death due to a motor vehicle accident. Her family expressed their wishes to donate her organs. After the complete transplantation protocol was achieved, the patient was taken to the operating room for procuration, where she donated her liver, both kidneys, and both corneas.

Before introducing the donor liver into the receptor, the organ was carefully dissected, enabling a more detailed anatomy of its vessels and the organ itself (figs. 1 and 2).

Figure 1.

Dissected inferior vena cava.

Figure 2.

Dissected portal vein.


At dissection, the patient presented with a type 2 vascular anatomy, according to Couinaud's nomenclature. This variation has been reported in previous studies to be present in up to 10% of the population and it is defined as a left hepatic artery that arises from the left gastric artery instead of originating from the proper hepatic artery (fig. 3).

Figure 3.

Celiac artery with its branches: splenic artery, left gastric artery, and proper hepatic artery. Notice that the left hepatic artery arises from the left gastric artery (type 2 vascular anatomy description from Couinaud's nomenclature).

Ethical responsibilitiesProtection of persons and animals

The authors declare that no experiments were performed on humans or animals for this study.

Data confidentiality

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this article.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: Ortiz de Elguea-Lizárraga JI, del Real-Romo ZJ, Paláu-Dávila L, Flores-Villalba E. Variante anatómica de la arteria hepática izquierda. Revista de Gastroenterología de México. 2015;80:214–216.

Copyright © 2015. Asociación Mexicana de Gastroenterología
Revista de Gastroenterología de México
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