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Ann Thorac Surg 1992;54:166-168
© 1992 The Society of Thoracic Surgeons

Articles

Esophagogastrectomy and the variant left hepatic artery

Alan W. Hemming, MD, Richard J. Finley, MD*, Kenneth G. Evans, MD, Bill Nelems, MD, Guy Fradet, MD

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia Canada

Accepted for publication March 2, 1992.

* Address reprint requests to Dr Finley, UBC Department of Surgery, Rm 3100, 910 W 10th Ave, 3rd Floor, Laurel Pavilion/VGH, Vancouver, BC, V5Z 4E3, Canada.

A variant left hepatic artery occurs at a rate of approximately 10%. In standard esophagogastrectomy and some proximal gastric operations this variant artery is sacrificed, which has led to reported fatalities secondary to hepatic necrosis. We report our method of esophagogastrectomy in the presence of an aberrant left hepatic artery.




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