The UEMS training charter for pathology: a common trunk and a challenge ahead for the EFCS

Variations of the branches of aortic arch are due to alteration in the development of certain branchial arch arteries during embryonic period. Knowledge of these variations is important during aortic instrumentation, thoracic, and neck surgeries. In the present study we observed these variations in fifty-two cadavers from Indian populations. In thirty-three (63.5%) cadavers, the aortic arch showed classical branching pattern which includes brachiocephalic trunk, left common carotid artery, and left subclavian artery. In nineteen (36.5%) cadavers it showed variations in the branching pattern, which include the two branches, namely, left subclavian artery and a common trunk in 19.2% cases, four branches, namely, brachiocephalic trunk, left common carotid artery, left vertebral artery, and left subclavian artery in 15.3% cases, and the three branches, namely, common trunk, left vertebral artery, and left subclavian artery in 1.9% cases.

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Upper limb arterial pattern: clinical correlation and embryological perspective

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.210008 ◽

2021 ◽

Vol 20 ◽

Author(s):

Laishram Sophia ◽

Darshita Singh ◽

Neha Xalxo ◽

Anjoo Yadav ◽

Sneh Agarwal ◽

...

Keyword(s):

Upper Limb ◽

Brachial Artery ◽

Axillary Artery ◽

Common Trunk ◽

New Delhi ◽

Palmar Arch ◽

Medical College ◽

Human Cadavers ◽

Median Artery ◽

Development Methods

Abstract Background Variations in the upper limb arterial pattern are commonplace and necessitate complete familiarity for successful surgical and interventional procedures. Variance in the vascular tree may involve any part of the axis artery of the upper limb, including the axillary artery and brachial artery or its branches, in the form of radial and ulnar arteries, which eventually supply the hand via anastomosing arches. Objectives To study the peculiarities of the arterial pattern of the upper limb and to correlate them with embryological development. Methods The entire arterial branching of forty-two upper limbs of formalin fixed adult human cadavers was examined during routine dissection for educational purposes, conducted over a 3-year period in the Department of Anatomy, Lady Hardinge Medical College, New Delhi. Results The study found: 1) One case in which a common trunk arose from the third part of the axillary artery, which immediately splayed into four branches (2.4%); 2) High division of the brachial artery into ulnar and radial arteries, in 3 cases (7.1%); 3) Pentafurcation of the brachial artery into ulnar, interosseus, radial, and radial recurrent arteries and a muscular twig to the brachioradialis in 1/42 cases (2.4%); 4) Incomplete Superficial Palmar arch in 3/42 cases (7.1%); and 5) Presence of a median artery in 2/42 case(4.8%) Conclusions This study observed and described the varied arterial patterns of the upper limb and identified the various anomalous patterns, supplementing the surgeon’s armamentarium in various surgical procedures, thereby helping to prevent complications or failures of reconstructive surgeries, bypass angiography, and many similar procedures.

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Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report

World Journal of Clinical Cases ◽

10.12998/wjcc.v7.i21.3639 ◽

2019 ◽

Vol 7 (21) ◽

pp. 3639-3648

Author(s):

Yuan-Yuan Sun ◽

Guo-Ming Zhang ◽

You-Bin Zhang ◽

Xin Du ◽

Mao-Long Su

Keyword(s):

Case Report ◽

Carotid Artery ◽

Subclavian Artery ◽

Common Carotid Artery ◽

Subclavian Steal Syndrome ◽

Aberrant Right Subclavian Artery ◽

Common Trunk ◽

Subclavian Steal ◽

Bilateral Common Carotid Artery ◽

Steal Syndrome

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Celiomesenteric and renal common trunk associated with distal thoracic aorta coarctation and three saccular aneurysms

Journal of Vascular Surgery ◽

10.1016/j.jvs.2013.06.088 ◽

2014 ◽

Vol 59 (5) ◽

pp. 1432 ◽

Cited By ~ 1

Author(s):

Gabrielle Sarlon-Bartoli ◽

Pierre Edouard Magnan ◽

Hubert Lépidi ◽

Michel Alain Bartoli

Keyword(s):

Thoracic Aorta ◽

Common Trunk ◽

Saccular Aneurysms

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Microsurgical Anatomy and Surgical Exposure of the Petrous Segment of the Internal Carotid Artery

Operative Neurosurgery ◽

10.1227/01.neu.0000327037.75571.10 ◽

2008 ◽

Vol 63 (suppl_4) ◽

pp. ONS210-ONS239 ◽

Cited By ~ 14

Author(s):

Shigeyuki Osawa ◽

Albert L. Rhoton ◽

Necmettin Tanriover ◽

Satoru Shimizu ◽

Kiyotaka Fujii

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Sphenoid Sinus ◽

Internal Carotid ◽

Lateral Wall ◽

Common Trunk ◽

Microsurgical Anatomy ◽

Carotid Canal ◽

Complex Relationships ◽

Arteries And Veins

Abstract Objective: The petrous segment of the internal carotid artery has been exposed in the transpetrosal, subtemporal, infratemporal, transnasal, transmaxillary, transfacial, and a variety of transcranial approaches. The objective of the current study was to examine anatomic features of the petrous carotid and its branches as related to the variety of approaches currently being used for its exposure. Methods: Twenty middle fossae from adult cadaveric specimens were examined using magnification of ×3 to ×40 after injection of the arteries and veins with colored silicone. Results: The petrous carotid extends from the entrance into the carotid canal of the petrous part of the temporal bone to its termination at the level of the petrolingual ligament laterally and the lateral wall of the sphenoid sinus medially. The petrous carotid from caudal to rostral was divided into 5 segments: posterior vertical, posterior genu, horizontal, anterior genu, and anterior vertical. Fourteen (70%) of the 20 petrous carotids had branches. The branch that arose from the petrous carotid was either a vidian or periosteal artery or a common trunk that gave rise to both a vidian and 1 or more periosteal arteries. The most frequent branch was a periosteal artery. Conclusion: An understanding of the complex relationships of the petrous carotid provides the basis for surgically accessing any 1 or more of its 5 segments.

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Variations and some clinically relevant relations of A. cystica in pigs - a corrosion cast study

BULGARIAN JOURNAL OF VETERINARY MEDICINE ◽

10.15547/bjvm.2305 ◽

2021 ◽

Vol 24 (3) ◽

pp. 317-323

Author(s):

I. S. Stefanov ◽

N. S. Tsandev ◽

A. P. Vodenicharov

Keyword(s):

The Self ◽

Common Trunk ◽

Corrosion Casting ◽

Corrosion Casts ◽

Casting Method ◽

Air Drying ◽

Surgical Interventions ◽

New Information ◽

Corrosion Cast ◽

The Common

The aim of this study was to investigate the variations as well as the length of A. cystica and its branches in pigs using corrosion casting method with the self-polymerising resin Duracryl® Plus. The method included several steps: hepatectomy, precasting treatment, injection of Duracryl, polymerisation of casting medium, corrosive treatment, cleaning of the corrosion casts, air-drying and preservation of casts. The livers were collected from 12 male 6-month-old pigs (crossbred Landrace×Danube White). With regards to the beginning of A. cystica, 4 variations were observed and grouped as follows: variation A  A. cystica detached from R. dexter medialis, together with R. quadratus (variation A1), or alone (variation A2); variation B1 – A. cystica originated from A. gastroduodenalis, or was a branch of the common trunk (R. dexter) (variation B2). The metric data were processed by GraphPad Prism 6 for Windows. Clinically relevant relations between А. сystica, Ductus cysticus, A. celiaca and R. sinister also were described. The new information re-ceived about the blood supply of the gallbladder would contribute to the understanding of the etiology of postoperative complications as a result of surgical interventions in this location and for their prevention.

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