Normally, the first root forms the left gastric artery
, the second root forms the splenic artery and the third root forms the common hepatic artery.
The coeliac trunk takes its origin from the abdominal aorta and supplies the stomach, duodenum, liver, gallbladder, spleen and pancreas through its three branches namely splenic artery, left gastric artery
and common hepatic artery.
Suggested collateral pathways in cases of splenic artery thrombosis include anastomosis between the right gastroepiploic artery (from the gastroduodenal artery) and left gastroepiploic artery (from the splenic artery) on the greater curvature of the stomach and gastric branches of the left gastric artery
and short gastric arteries (9).
Once normal studies are obtained, the procedure is performed using standard left gastric artery
catheterization techniques with microcatheter sub-selection for the actual embolization.
Jie, "Aberrant left inferior bronchial artery originating from the left gastric artery
in a patient with acute massive hemoptysis," CardioVascular and Interventional Radiology, vol.
In gastric artery embolisation, an interventional radiologist threads a catheter up (or down, depending on her entry point) to the left gastric artery
and deposits a slew of tiny beads to reduce the flow of blood to the gastric fundus, the upper part of the stomach.
After ligating left gastric artery
, Kochers clamp was applied and duodenum was divided distal to it.
Urgent angiography of the left gastric artery
revealed extravasation of contrast material from the gastric body (Figure 1).
Distal gastric was resected following the connection between the right of the first descending branch of left gastric artery
and the left of the first vertical branch of big gastroepiploic left artery.
The reason for the predominance of location at this site is that the submucosal arteries in the lesser curvature are direct branches of the left gastric artery
, whereas in the rest of the stomach, the submucosal vessels are of much smaller caliber because of their serial branching.
2), which revealed a pseudo-aneurysm off a branch of the left gastric artery
The classic branching pattern in which the left gastric artery
originates as the first branch and the coeliac trunk divides into common hepatic and splenic arteries.
Trace the left gastric artery
towards the oesophagus till it curve posteriorly round the superior surface of the omental bursa.
On careful observation, we observed that the celiac axis had four branches: (a) left gastric artery
, (b) common hepatic artery, (c) splenic artery and (d) an aberrant branch, which took a course inferiorly towards the pancreas ('A' in Fig.
4-cm ruptured pseudoaneurysm of the left gastric artery
within a large pancreatic pseudocyst (Figure 2).