Arch Hand Microsurg.  2020 Jun;25(2):161-165. 10.12790/ahm.19.0064.

Greater Saphenous Vein Graft Revascularization of the Left Hepatic Artery after Resection of Intrahepatic Cholangiocarcinoma with Common Hepatic Artery Resection

• Choi JY
• Jung ER
• Choi J
• Kim KH
• Jung SN
• Seo BF

• KMID: 2502715
• DOI: http://doi.org/10.12790/ahm.19.0064

Abstract

Resection of biliary tract malignancies may require resection of the hepatic vasculature. While immediate revascularization of the liver is necessary, reconstruction is difficult when the original vessels are unavailable. We document a case in which a segment of the common hepatic artery was excised during tumor resection and the remaining proximal vessel displayed intima dissection. A greater saphenous vein was placed as a bridge between the remaining left hepatic artery and gastroduodenal artery for successful revascularization.

Keyword

Hepatic artery; Saphenous vein; Autograft

Figure

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  Fig. 1. Magnetic resonance imaging revealed a 2.5-cm sized mass (arrow) with delayed enhancement in the caudate lobe of the liver abutting the portal vein, leading to suspicion of mass forming cholangiocarcinoma: (A) axial view and (B) coronal view.

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  Fig. 2. A bridging vein graft from the greater saphenous vein (GSV) was done between the left hepatic artery and gastroduodenal artery.

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