Liver blood supply after a modified Appleby procedure in classical and aberrant arterial anatomy

Figure 13 Selective celiacography in a 37-year-old man with firearm (machine gun shots) liver wounds, false aneurysms of left hepatic lobe and hemobilia. A: Classical arterial architecture (Michels, type 1). There is communicating interlobar artery (CA) connecting right and left hepatic arteries (RHA and LHA). Turbulent blood flow is seen in areas of pulsative hematomas (H); B: Control of hemorrhage was achieved with RHA occlusion but arterial branches of right hepatic lobe keep being filled owing to CA-conveyed blood transit from the left hepatic artery (LHA). GDA: Gastroduodenal artery; PHA: Proper hepatic artery; CHA: Common hepatic artery; RGEA: Right gastroepiploic artery; T: Tumor.