J Arudchelvam, S Maniharan
J Arudchelvam, S Maniharan. Accessory Hepatic Artery Resulting in Difficult Identification During Endovascular Intervention: A Case Report. .Sri Lanka Anatomy Journal, 10 (1), 97-101.
Publication year: 2026

Hepatic artery (HA) variations occur in 16.8 % to 45.0% of individuals. The awareness of these variations has implications in hepatobiliary, gastric, pancreatic procedures and liver transplantation. When there is an additional HA with the normal HA, it is called an accessory hepatic artery. Case report: This report is on a case of accessory left hepatic artery (ALHA) in a 35-year-old male. The ALHA was arising from the left gastric artery (LGA). The LGA in this case also had an abnormal origin directly from the aorta. The patient had an aneurysm arising from the ALHA. The HA variation was suspected and detected during the angiography and a successful embolization was done. The patient made an uneventful recovery. This case illustrates the importance of the awareness of such variations, for successful procedures. In addition, awareness on the HA variations is also important in preventing complications.