Right gastroepiploic artery

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Right gastroepiploic artery
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The celiac artery and its branches; the liver has been raised, and the lesser omentum and anterior layer of the greater omentum removed. (Right gastroepiploic artery visible at lower left.)
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Right and left gastroomental is at #4.
Details
Source Gastroduodenal artery
Vein Right gastroepiploic vein
Identifiers
Latin arteria gastro-omentalis dextra,
arteria gastroepiploica dextra
TA98 A12.2.12.022
TA2 4221
FMA 14781
Anatomical terminology

The right gastroepiploic artery (or right gastro-omental artery) is one of the two terminal branches of the gastroduodenal artery. It runs from right to left along the greater curvature of the stomach, between the layers of the greater omentum, anastomosing with the left gastroepiploic artery, a branch of the splenic artery.

Contents

Blood supply to the stomach: left and right gastric artery, left and right gastroepiploic artery and short gastric artery. Stomach blood supply.svg
Blood supply to the stomach: left and right gastric artery, left and right gastroepiploic artery and short gastric artery.

Except at the pylorus where it is in contact with the stomach, it lies about a finger's breadth from the greater curvature.

Branches

This vessel gives off numerous branches:

Use in coronary artery surgery

The right gastroepiploic artery was first used as a coronary artery bypass graft (CABG) in 1984 by John Pym and colleagues at Queen's University. It has become an accepted alternative conduit, and is particularly useful in patients who do not have suitable saphenous veins to harvest for grafts. [2] The right gastroepiploic artery is typically used as a graft to coronary arteries on the posterior wall of the heart such as the right coronary artery and the posterior descending branch. [3]

Related Research Articles

<span class="mw-page-title-main">Abdominal aorta</span> Largest artery in the abdomen

In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.

<span class="mw-page-title-main">Splenic artery</span> Artery which supplies blood to the spleen

In human anatomy, the splenic artery or lienal artery, an older term, is the blood vessel that supplies oxygenated blood to the spleen. It branches from the celiac artery, and follows a course superior to the pancreas. It is known for its tortuous path to the spleen.

<span class="mw-page-title-main">Gastroduodenal artery</span>

In anatomy, the gastroduodenal artery is a small blood vessel in the abdomen. It supplies blood directly to the pylorus and proximal part of the duodenum. It also indirectly supplies the pancreatic head.

<span class="mw-page-title-main">Lesser omentum</span>

The lesser omentum is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach, and to the first part of the duodenum. The lesser omentum is usually divided into these two connecting parts: the hepatogastric ligament, and the hepatoduodenal ligament.

<span class="mw-page-title-main">Left gastric artery</span> Artery

In human anatomy, the left gastric artery arises from the celiac artery and runs along the superior portion of the lesser curvature of the stomach before anastomosing with the right gastric artery. It also issues esophageal branches that supply lower esophagus and ascend through the esophageal hiatus to form anastomoses with the esophageal branches of thoracic part of aorta.

The left gastroepiploic vein receives branches from the antero-superior and postero-inferior surfaces of the stomach and from the greater omentum; it runs from right to left along the greater curvature of the stomach and ends in the commencement of the splenic vein.

<span class="mw-page-title-main">Left gastroepiploic artery</span>

The left gastroepiploic artery, the largest branch of the splenic artery, runs from left to right about a finger's breadth or more from the greater curvature of the stomach, between the layers of the greater omentum, and anastomoses with the right gastroepiploic.

<span class="mw-page-title-main">Left colic artery</span> Artery

The left colic artery is a branch of the inferior mesenteric artery distributed to the descending colon, and left part of the transverse colon. It ends by dividing into an ascending branch and a descending branch; the terminal branches of the two branches go on to form anastomoses with the middle colic artery, and a sigmoid artery (respectively).

<span class="mw-page-title-main">Short gastric arteries</span> Small group of arteries from the splenic artery that supply the fundus of the stomach

The short gastric arteries are of 5-7 small branches of the splenic artery that pass along part of the greater curvature of the stomach from left to right between the layers of the gastrolienal ligament, and are distributed to the greater curvature of the stomach.

<span class="mw-page-title-main">Right gastric artery</span> Blood vessel of the human digestive system

The right gastric artery usually arises from the proper hepatic artery. It descends to the pyloric end of the stomach before passing from right to left along its lesser curvature, supplying it with branches, and finally anastomosing with the left gastric artery.

<span class="mw-page-title-main">Ileocolic artery</span> Artery in the abdomen

The ileocolic artery is the lowest branch arising from the concavity of the superior mesenteric artery. It supplies the cecum, ileum, and appendix.

<span class="mw-page-title-main">Superior pancreaticoduodenal artery</span> Artery

The superior pancreaticoduodenal artery is an artery that supplies blood to the duodenum and pancreas.

<span class="mw-page-title-main">Greater omentum</span> Fat sheath under abdominal wall

The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.

<span class="mw-page-title-main">Gastrocolic ligament</span>

The gastrocolic ligament is a portion of the greater omentum that stretches from the greater curvature of the stomach to the transverse colon. It forms part of the anterior wall of the lesser sac.

<span class="mw-page-title-main">Posterior descending artery</span> Artery supplying the heart

In the coronary circulation, the posterior descending artery (PDA), also called the posterior interventricular artery, is an artery running in the posterior interventricular sulcus to the apex of the heart where it meets with the left anterior descending artery also known as the anterior interventricular artery. The PDA supplies the posterior third of the interventricular septum. The remaining anterior two-thirds is supplied by the left anterior descending artery, which is a branch of left coronary artery.

<span class="mw-page-title-main">Circumflex branch of left coronary artery</span> Artery of heart

The circumflex branch of left coronary artery is a branch of the left coronary artery. It winds around the left side of the heart along the atrioventricular groove. It supplies the posterolateral portion of the left ventricle.

<span class="mw-page-title-main">Gastrosplenic ligament</span>

The gastrosplenic ligament is part of the greater omentum extending between the stomach and the spleen. It contains several blood vessels.

<span class="mw-page-title-main">Curvatures of the stomach</span> Anatomy of the human stomach

The curvatures of the stomach refer to the long, convex, lateral suface and the shorter, concave, medial surface of the organ, which are referred to as the greater and lesser curvatures, respectively. The greater curvature, which begins at the cardiac notch, and arches backwards, passing inferiorly to the left, is four or five times as long as the lesser curvature, which attaches to the hepatogastric ligament and is supplied by the left gastric artery and right gastric branch of the hepatic artery.

<span class="mw-page-title-main">Gastric lymph nodes</span>

The gastric lymph nodes are lymph nodes which drain the stomach and consist of two sets, superior and inferior:

<span class="mw-page-title-main">Omental foramen</span> Part of the human abdomen

In human anatomy, the omental foramen is the passage of communication, or foramen, between the greater sac, and the lesser sac.

References

PD-icon.svgThis article incorporates text in the public domain from page 604 of the 20th edition of Gray's Anatomy (1918)

  1. Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002. Page 150
  2. Pym, J.; Brown, P.; Pearson, M.; Parker, J. (1995). "Right Gastroepiploic-to-Coronary Artery Bypass : The First Decade of Use". Circulation. 92 (9): II45–9. doi:10.1161/01.CIR.92.9.45. PMID   7586453.
  3. He, Guo-Wei (2006). Arterial Grafting for Coronary Artery Bypass Surgery (2nd ed.). Springer. pp. 181–192. ISBN   354030083X.