case_images: PMC11758930_01
case_images: Vascular transposition of the gastroduodenal artery to the right hepatic artery. The circle illustrates the limits of the tumor with relation to the hepatic artery itself. The left hepatic artery (resected during surgery) is not shown in the image. Transposition was from (A) (gastroduodenal artery) to (B) (right hepatic artery). Author's illustration.
case_images: jvb-23-e20240012-g01-en.jpg
case_images: PMC11758930_01_jvb-23-e20240012-g01-en.jpg
case_images: gf0100
case_images: Finally, vascular transposition was conducted by anastomosis of the gastroduodenal artery to the right hepatic artery with continuous prolene 8.0 suture (Figures 1 and 2).
case_images: Illustration superimposed on the operating field showing the gastroduodenal artery transposed to the right hepatic artery. (A) The broken line shows the normal anatomic position; (B) The continuous line marked by the arrow shows the position after anastomosis. Authors' files.
case_images: jvb-23-e20240012-g02-en.jpg
case_images: PMC11758930_01_jvb-23-e20240012-g02-en.jpg
case_images: gf0200
case_images: Finally, vascular transposition was conducted by anastomosis of the gastroduodenal artery to the right hepatic artery with continuous prolene 8.0 suture (Figures 1 and 2).
case_images: (A) Patent portal vein, with caliber maintained and Doppler velocimetry pattern preserved; (B) Surgical graft communicating between gastroduodenal and right hepatic arteries, with hepatopetal flow, no signs of turbulence, and low resistance peak systolic velocity (VPS) of 120 cm/s. Authors' files.
case_images: jvb-23-e20240012-g03-en.jpg
case_images: PMC11758930_01_jvb-23-e20240012-g03-en.jpg
case_images: gf0300
case_images: Control tomography showing status of the left hepatectomy. Authors' files.
case_images: jvb-23-e20240012-g04-en.jpg
case_images: PMC11758930_01_jvb-23-e20240012-g04-en.jpg
case_images: gf0400