Aberrant right posterior hepatic artery originating from the gastroduodenal artery with a concomitant replaced left hepatic artery: a rare clinical variant

REİS, MURAT; ANGIN, YAVUZ; Ulfanov, ORKHAN; ULAŞ, MURAT; KILIÇ, MEHMET; GÜNDOĞDU, ELİF

doi:10.1007/s00276-025-03814-6

Aberrant right posterior hepatic artery originating from the gastroduodenal artery with a concomitant replaced left hepatic artery: a rare clinical variant

REİS M. E., ANGIN Y. S., Ulfanov O., ULAŞ M., KILIÇ M., GÜNDOĞDU E.

SURGICAL AND RADIOLOGIC ANATOMY, vol.48, no.1, 2026 (SCI-Expanded, Scopus)

Publication Type: Article / Article
Volume: 48 Issue: 1
Publication Date: 2026
Doi Number: 10.1007/s00276-025-03814-6
Journal Name: SURGICAL AND RADIOLOGIC ANATOMY
Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
Keywords: Hepatic artery variations, Pancreaticoduodenectomy, Whipple procedure
Eskisehir Osmangazi University Affiliated: Yes

Abstract

Variations in the hepatic arterial system, observed in up to 22% of the population, significantly influence the outcomes of hepatobiliary and pancreatic procedures. This study describes an extremely rare variant involving an aberrant right posterior hepatic artery (aRPHA) originating from the gastroduodenal artery (GDA) alongside a replaced left hepatic artery (LHA). Awareness of such variants is critical during pancreaticoduodenectomy to prevent ischemic complications.