09 May 2021
: Case report
A Rare Anatomic Variant of Double Replaced Hepatic Arteries: A Case Report and Brief Review of the Anomalous Hepatic Vasculature Literature
Congenital defects / diseases
Mazzin Elsamaloty1ABDEF*, Eric Schupp1BDEF, Abdighani Ismail1BDE, Clariza Borile1BDE, Krista Chun1BDE, Jeffrey M. Sutton2ADEDOI: 10.12659/AJCR.930990
Am J Case Rep 2021; 22:e930990
Table 1. The most common variants in hepatic arterial circulation as defined by Michels [4].
| Hepatic arterial anatomy | Michels’ Class |
|---|---|
| Normal anatomy | Type I |
| LHA branching from LGA | Type II |
| RHA branching from SMA | Type III |
| LHA branching from LGA & RHA branching from SMA | Type IV |
| aLHA branching from LGA | Type V |
| aRHA branching from SMA | Type VI |
| aLHA branching from LGA & aRHA branching from SMA | Type VII |
| aLHA branching from LGA & RHA branching from SMA | Type VIII |
| CHA branching from SMA | Type IX |
| CHA branching from LGA | Type X |






