Clinical significance of variant hepatic artery in pancreatic resection: A comprehensive review

Figure 9 The replaced right hepatic artery reconstruction with gastroduodenal artery remnant during pancreaticoduodenectomy. A and B: Coronal and axial maximum intensity projection images showed the replaced right hepatic artery (rRHA, arrow) originated from the superior mesenteric artery and penetrated through the pancreatic head with tumor invasion resulting in significant stenosis (arrowhead); C: Intraoperative image showed a long length of the gastroduodenal artery (GDA) remnant (black arrow) was available for direct end-to-end anastomosis with the rRHA (white arrow); D: The rRHA-GDA anastomosis is complete.