Preoperative angiography of the coeliac trunk and superior mesenteric
artery is routinely performed before liver resections and transplantat
ions. For this purpose, it is usual to inject each branch of the coeli
ac trunk separately, Selective angiographic studies, however, may lead
to-overlooking surgically essential anatomic variations of the hepati
c blood supply, as demonstrated by the present report, A case of a dup
licated hepatic artery is presented, its radiologic and surgical impli
cations discussed, and the relevant literature reviewed. This uncommon
and particularly evocative feature illustrates the clinical importanc
e of a sound knowledge of anatomical variants.