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. 1964 Jun:107:822-32.
doi: 10.1016/0002-9610(64)90169-2.

ACCIDENTAL HEPATIC ARTERY LIGATION IN HUMANS

R S BRITTAIN, T L MARCHIORO, G HERMANN, W R WADDELL, T E STARZL

ACCIDENTAL HEPATIC ARTERY LIGATION IN HUMANS

R S BRITTAIN et al. Am J Surg. 1964 Jun.
No abstract available

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Figures

FIG. I
FIG. I
The nature of the arterial injury in the reported cases. The order of the diagrams is the same as the case reports. In B, reanastomosis of the right hepatic artery was done. In E, the common duct was also injured and repaired with a Roux-en-Y choledochojejunostomy. CA, cystic artery; CBD, common bile duct; CHA, common hepatic artery; GB, gallbladder; GDA, gastroduodenal artery; LGA, left gastric artery; LHA, left hepatic artery; LHD, left hepatic duct; RHA, right hepatic artery; RHD, right hepatic duct; SA, splenic artery.
FIG. 2
FIG. 2
Area of cyanosis resulting from ligation of right hepatic artery in Cases I and IV. Note that the color change was essentially identical in both, involving only a few extra millimeters in Case I.
FIG. 3
FIG. 3
Changes in laboratory values in Case I after ligation of the right hepatic artery. Note that the only change was a rise in SGOT.
FIG. 4
FIG. 4
Biochemical changes in Case III after ligation of the proper hepatic artery. The rise in SGOT was prominent but had returned to normal in fifteen days.
FIG. 5
FIG. 5
Response in Case IV to right hepatic artery ligation; transient bilirubinemia occurred.
FIG. 6
FIG. 6
Autopsy specimen of dearterialized right lobe of liver in Case v nineteen days after operation.
See this image and copyright information in PMC

References

    1. Graham RR, Cannell D. Accidental ligation of the hepatic artery. Brit. J. Surg. 1933;20:566.
    1. Woolling KR, Baggenstoss AH, Weir JF. Infarcts of the liver. Gastroenterology. 1951;17:479. - PubMed
    1. Berman JK, Fields DC. Advanced atrophic cirrhosis; present status of hepatic, splenic and left gastric arterial occlusion as aid in control of its complications. Arcb. Surg. 1954;68:432. - PubMed
    1. Mcfadzean AJS, Cook J. Ligation of the splenic and hepatic arteries in portal hypertension. Lancet. 1953;1:615. - PubMed
    1. Rienhoff WF, Jr, Woods AC. Ligation of hepatic and splenic arteries in treatment of cirrhosis with ascites. J. A. M. A. 1953;152:687. - PubMed

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