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Middle hepatic artery

The middle hepatic artery (MHA) is an intrahepatic hilar arterial branch, usually arising from the left hepatic artery, which supplies segments IVa and IVb. It runs towards the right side of the umbilical fissure.

Variant anatomy

  • it may arise from the right hepatic artery 1,2
  • it may arise as a trifurcation of the proper hepatic artery (PHA) in the porta hepatis along with the left and right hepatic arteries 2
  • in patients with a replaced left hepatic artery, the MHA arises from the right hepatic artery 3
  • in patients with a replaced right hepatic artery, the MHA arises from the left hepatic artery 3
  • if the bifurcation of the PHA is low within the porta hepatic, then the MHA may have an extrahepatic course and traverse Calot's triangle placing it at risk during cholecystectomy
  • it may give rise to a falciform artery
Anatomy: Abdominopelvic

Anatomy: Abdominopelvic

Article information

rID: 62389
Section: Anatomy
Synonyms or Alternate Spellings:
  • MHA

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