Intrapancreatic common hepatic artery arising from the superior mesenteric artery, a challenging anatomic variation in a multiorgan harvesting.

JUAN PADIN; DIEGO RAMISCH; MARASCHIO MARTIN; SAMAME J; FARINELLI PABLO ; GUILLERMO PFAFFEN; PABLO BARROS SCHELOTTO; GABRIEL GONDOLESI

TRANSPLANTATION PROCEEDINGS

ELSEVIER SCIENCE INC

Año: 2013 vol. 45 p. 820 - 823

0041-1345

INTRODUCTION: Understanding abdominal vascular anatomy is crucial for multiorgan recovery. In this case report, we have described a common hepatic artery that arises from the superior mesenteric artery but follows an intrapancreatic course. METHODS: The donor was ideal for multiorgan recovery and the recipient was a 29-year-old woman awaiting a second transplant owing to primary nonfunction of her first engrafted organ. The indication for transplantation was secondary biliary cirrhosis. A type I diabetic recipient on dialysis therapy was awaiting the kidney and pancreas. RESULTS: The urgent condition of our liver recipient combined with the anatomical finding prioritized liver procurement, therefore the pancreas was discarded. CONCLUSIONS: The recognition of all anatomic variations will allow us to improve the use of the scarce resource of deceased donor organs.