Hepatic circulation

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

The liver receives its oxygen from a small hepatic artery that branches off the coelic artery, but most of the blood flowing through the liver comes from the gut. All the blood delivered by the coeliac artery, the anterior mesenteric artery and the posterior mesenteric artery is collected into the large hepatic portal, which runs parallel to the common bile duct. Usually, the hepatic portal does not get injected with latex, so it can be difficult to see.

After it enters the liver, the hepatic portal distributes blood to a vast network of sinuses in the liver, where it can be screened and its solutes adjusted. These sinuses are then drained by small veins which merge to form the hepatic vein. The hepatic vein, shown in the photo, was buried right in the tissue of the liver, and had to be dissected out. The hepatic vein then takes blood to the posterior vena cava.

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hepatic circulation from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

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Surgery

Prevention

References

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