In conclusion, contrast-enhanced CT is the most effective diagnostic method for left gastric artery
aneurysms and should be considered in the differential diagnosis of patients with intra-abdominal hemorrhage without trauma.
Caption: Figure 6: A: abdominal aorta; 1: celiac trunk, 2: left gastric artery
, 3: accessory left gastric artery
, 4: second left gastroepiploic artery, 5: second posterior gastric artery, 6: terminal branches of the splenic arteries, 7: splenic arteries, 8: left gastroepiploic artery, 9: posterior gastric artery, 10: right gastroepiploic artery, 11: superior anteriorpancreaticoduodenal artery, 12: gastroduodenal artery, 13: posterior superior pancreaticoduodenal artery, 14: right gastric artery, 15: superior duodenal artery, 16: left hepatic artery, 17: accessory left hepatic artery, 18: intermediate hepatic artery, 19: cystic artery, 20: right hepatic artery, 21: proper hepatic artery, and 22: common hepatic artery.
Shows the Patterns of Branching of Coeliac Trunk in Cadavers during Dissection in Anatomy Training Patterns of Arteries Branching N = 50 (%) Hepatolienogastric trunk Normal 39 78% Left inferior phrenic artery arising from Variant 8 16% the coeliac trunk Right inferior phrenic artery arising -- 0 0% from the coeliac trunk Both the right and the left inferior Variant 2 4% phrenic arteries arising from the coeliac trunk Common coeliac mesenteric trunk Anomaly 1 2% Left gastric artery
arising from the Variant 1 2% abdominal aorta Common hepatic artery bifurcating into the Variant 1 2% hepatic proper and the gastroduodenal artery
Left gastric artery
embolisation is considered a one-day procedure - a far simpler undertaking than most bariatric surgery.
A preliminary observation of weight loss following left gastric artery
embolization in humans.
Once normal studies are obtained, the procedure is performed using standard left gastric artery
catheterization techniques with microcatheter sub-selection for the actual embolization.
Trace the left gastric artery
towards the oesophagus till it curve posteriorly round the superior surface of the omental bursa.
The procedure, called gastric artery chemical embolization (GACE), uses a catheter to introduce tiny beads into the left gastric artery
. The beads cut off part of the blood supply to the upper part of the stomach, called the gastric fundus.
Two trunks arose separately from a very short CMT: 1) the gastro-splenic trunk divided into the left gastric artery
and the splenic artery; and 2) the hepatomesenteric trunk divided into the common hepatic artery and the superior mesenteric artery.
The coeliac trunk, the chief arterial supply for the foregut derivatives and one of the ventral branches of the abdominal aorta, usually gives origin to three branches, namely the splenic artery, the common hepatic artery and the left gastric artery
. In antithesis, the superior mesenteric artery, yet another ventral branch of the abdominal aorta, supplies the midgut derivatives.
A subsequent contrast-enhanced CT showed a 2.4-cm ruptured pseudoaneurysm of the left gastric artery
within a large pancreatic pseudocyst (Figure 2).
For example, only two of the classical branches of the trunk may be present (Vandamme & Bonte; Shoumura et al, 1991; Harada et al, 1997; Kahraman et al, 2001; Nakamura et al., 2003; Saeed et al., 2003): a) a gastrolienal trunk occurs when the hepatic artery arises from the superior mesenteric artery or the aorta; b) a hepatolienal trunk is present when the left gastric artery
originates directly from the aorta; c) a hepatogastric trunk occurs when the splenic artery originates from the aorta or the superior mesenteric artery.