scholarly journals A study of variations in branching pattern of axillary artery in cadavers

2021 ◽  
Vol 8 (4) ◽  
pp. 314-319
Author(s):  
Anjalee G Ovhal ◽  
K Ravikumar ◽  
Devender Sachdev
Keyword(s):  
Surgical Procedures ◽  
Interventional Procedures ◽  
Axillary Artery ◽  
Branching Pattern ◽  
Upper Limbs ◽  
Orthopedic Surgeons ◽  
Anatomical Knowledge ◽  
Variant Anatomy

The knowledge of variable branching pattern of Axillary artery is needed for vascular surgeons, onco surgeons, anaesthesiologists, orthopedic surgeons and radiologists due to increased use of invasive diagnostic, interventional procedures. The aim was to study the variable branching pattern of Axillary artey in cadavers. 15 cadavers (30 upper limbs) - 12 male and 3 female embalmed with 10% formalin were dissected for this study. Variable branching pattern was observed in 6.6% of the cases on right side and 6.6% of the cases on left side in first part of axillary artery, 40% of the cases on right side and 53.3% of the cases on left side in second part and 53.3% of the cases on right side and 26.6% of the cases on left side in third part. The anatomical knowledge of the normal and variant anatomy of the Axillary artery is of importance for anatomists, surgeons, radiologists and clinicians during various interventional, diagnostic, therapeutic and surgical procedures on pectoral and axillary regions.

scholarly journals Abnormal Communication between Lateral Thoracic Artery and Anterior Circumflex Humeral Artery – a Case Report

2018 ◽  
Vol 61 (2) ◽  
pp. 65-68
Author(s):  
Dinesh V. Kumar ◽  
Ramakrisnan Rajprasath ◽  
Prasad G. Bhavani
Keyword(s):  
Upper Limb ◽  
Axillary Artery ◽  
Limb Bud ◽  
Branching Pattern ◽  
Upper Limbs ◽  
Vascular Plexus ◽  
Lateral Thoracic Artery ◽  
The World ◽  
Male Cadaver ◽  
Arterial Anomalies

Variations in the branching pattern of axillary artery are observed by many anatomists all over the world. A unique bilateral variation in the axillary artery was observed during the routine dissection of the upper limbs on an approximately 65 year old male cadaver. An abnormal communicative channel was observed between lateral thoracic artery and anterior circumflex humeral artery. It passed between the two roots of median nerve. Arterial anomalies in the upper limb are due to defective remodelling of vascular plexus of the upper limb bud during embryogenesis. Knowledge of variations in axillary artery is quintessential for surgeons, radiologists and anaesthesiologists to avoid treacherous complications during procedures.

scholarly journals Topography and Anatomical Variations of the Axillary Artery

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kiwook Yang ◽  
Hyunsu Lee ◽  
In-Jang Choi ◽  
Woonhyeok Jeong ◽  
Hong-Tae Kim ◽  
...  
Keyword(s):  
Axillary Artery ◽  
Average Length ◽  
Anatomical Variations ◽  
Common Origin ◽  
Reference Line ◽  
Common Trunk ◽  
Branching Pattern ◽  
Upper Limbs ◽  
Adult Human ◽  
Number Of Branches

Knowledge of anatomical variations of the limb’s main arteries is significant for the clinicians. Thus, this study is aimed at examining the branching pattern and anatomical variations of the axillary artery. We conducted research on 59 upper limbs of adult human donated cadavers. All axillary artery branches’ origins were assessed, and the correlations between points of origins and variations of specific branches were evaluated. The average length of the axillary artery was found to be 11.22 cm, and this length was defined as reference line. Based on this reference line, the first, second, and third parts were 37.56%, 39%, and 30.05%, respectively. The STA was originated from 25.11%. The TAA and LTA were 42.67% and 54.82%, respectively. The SSA, ACHA, and PCHA were 64.72%, 83.89%, and 84.53%, respectively. The origin of LTA was correlated with that of SSA ( R = 0.473 , P < 0.05 ) and AHCA ( R = 0.307 , P < 0.05 ), respectively. And there was a positive correlation between AHCA and PHCA ( R = 0.705 , P < 0.05 ). The number of branches ranged from 3~6, and 9 types were shown. The most frequent branching pattern was common origin of the LTA and SSA (22/59). And AHCA and PHCA were originated together in 19 cases, and both patterns were combined in 12 cases. TTA and LTA branched together in 9 cases, and common trunk for the SSA, PHCA, and AHCA was found in 2 cases. According to this pattern, the origin of LTA and PCHA was significantly different. This information is particularly useful for surgeons and clinicians.

scholarly journals A communicating artery between axillary and radial artery - a case report

2012 ◽  
Vol 01 (02) ◽  
pp. 102-105
Author(s):  
Komala N. ◽  
Aruna N.
Keyword(s):  
Case Report ◽  
Radial Artery ◽  
Surgical Procedures ◽  
Axillary Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Male Cadaver ◽  
Arterial Grafting ◽  
The Right ◽  
Pedicle Flaps

AbstractVariations in the branching pattern of axillary artery have been observed quite frequently. In a male cadaver aged around 45 years allotted for undergraduate dissection a communicating artery between axillary and radial artery was found on the right side during routine dissection. Such arterial variations are important for clinicians in angiographic examinations, removes ambiguity during diagnostic interventions and surgical procedures. Thereby it ensures competency and reduces complications in cardiac catheterization, pedicle flaps, arterial grafting etc.

Study of Branching Pattern of Axillary Artery – A Cadaveric Study

2012 ◽  
Vol 2 (11) ◽  
pp. 396-397
Author(s):  
Dr. Maulik D Patel ◽  
◽  
Dr. Astha A Jain ◽  
Dr. C. A Pensi
Keyword(s):  
Axillary Artery ◽  
Cadaveric Study ◽  
Branching Pattern

Anatomical organization of aortic arch variation with embryological basis and clinical application

2021 ◽  
Vol 9 (1.3) ◽  
pp. 7901-7904
Author(s):  
Gayathri Pandurangam ◽  
◽  
D. Naga Jyothi ◽  
Asra Anjum ◽  
S. Saritha ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Clinical Application ◽  
Surgical Procedures ◽  
Wide Spectrum ◽  
Branchial Arch ◽  
Left Vertebral Artery ◽  
Branching Pattern ◽  
Brachiocephalic Trunk ◽  
Great Vessels ◽  
Arch System

Introduction: The variation in the aortic arch is well known and it has been demonstrated by number of researchers. Changes involved in the development of aortic arch system such as regression, retention or reappearance result in the variation in branching pattern of aortic arch. Variations of the branches of aortic arch are due to alteration of branchial arch arteries during embryonic period. The most common classical branching pattern of the aortic arch in humans comprises of three great vessels, which includes Brachiocephalic trunk, Left Common Carotid artery and Left Subclavian artery. Aim: The study is to determine the embryological basis correlating with clinical application and surgical procedures. Materials and Methods: A study was conducted in 50 formalin fixed cadaveric hearts, during a period of two years. In the routine dissection for 1st MBBS and also museum specimens we encountered 3variations in the branches of arch of aorta. Results: The variations in aortic arch branching pattern were observed in 4 cadaveric hearts (8%). Conclusion: The wide spectrum of variation in the human aortic arch and its branches offer valuable information to catheterize in endovascular surgery for diagnostic and surgical procedures in the thorax, head and neck regions. KEY WORDS: Aortic Arch (AA), Left Common Carotid (LCCA), Left Subclavian (LSA), Brachiocephalic Trunk (BCT), left vertebral artery(LVA).

scholarly journals Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

2020 ◽  
Vol 30 (9) ◽  
pp. 1288-1296
Author(s):  
Murat Ugurlucan ◽  
Yahya Yildiz ◽  
Didem Melis Oztas ◽  
Senay Coban ◽  
Metin Onur Beyaz ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Adverse Events ◽  
Hospital Stay ◽  
Surgical Procedures ◽  
Interventional Procedures ◽  
Preventive Measures ◽  
Cardiovascular Disorders ◽  
Cardiac Disorders ◽  
Corrective Procedures ◽  
Peak Phase

AbstractIntroduction:In this report, we aim to present our algorithm and results of patients with congenital cardiac disorders who underwent surgical or interventional procedures during the peak phase of the pandemics in our country.Patients and methods:The first COVID-19 case was diagnosed in Turkey on 11 March, 2020, and the peak phase seemed to end by the end of April. All the patients whom were referred, treated, or previously operated but still at the hospital during the peak phase of COVID-19 pandemics in the country were included into this retrospective study. Patient’s diagnosis, interventions, adverse events, and early post-procedural courses were studied.Results:Thirty-one patients with various diagnoses of congenital cardiovascular disorders were retrospectively reviewed. Ages of the patients ranged between 2 days and 16 years. Seventeen cases were males and 14 cases were females. Elective cases were postponed. Priority was given to interventional procedures, and five cases were treated percutaneously. Palliative procedures were preferred in patients whom presumably would require long hospital stay. Corrective procedures were not hesitated in prioritised stable patients. Mortality occurred in one patient. Eight patients out of 151 ICU admissions were diagnosed with COVID-19, and they were transferred to COVID-19 ICU immediately. Three nurses whom also took care of the paediatric cases became infected with SARS-CoV-2; however, the children did not catch the disease.Conclusion:Mandatory and emergent congenital cardiac percutaneous and surgical procedures may be performed with similar postoperative risks as there are no pandemics with meticulous care and preventive measures.

scholarly journals Anatomical Variations of the Recurrent Laryngeal Nerve and Implications for Injury Prevention during Surgical Procedures of the Neck

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 670
Author(s):  
Alison M. Thomas ◽  
Daniel K. Fahim ◽  
Jickssa M. Gemechu
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Surgical Procedures ◽  
Anatomical Variations ◽  
Laryngeal Nerve ◽  
Inferior Thyroid Artery ◽  
Branching Pattern ◽  
The Right ◽  
Relationship Of ◽  
Intrinsic Laryngeal Muscles ◽  
Formalin Fixed

Accurate knowledge of anatomical variations of the recurrent laryngeal nerve (RLN) provides information to prevent inadvertent intraoperative injury and ultimately guide best clinical and surgical practices. The present study aims to assess the potential anatomical variability of RLN pertaining to its course, branching pattern, and relationship to the inferior thyroid artery, which makes it vulnerable during surgical procedures of the neck. Fifty-five formalin-fixed cadavers were carefully dissected and examined, with the course of the RLN carefully evaluated and documented bilaterally. Our findings indicate that extra-laryngeal branches coming off the RLN on both the right and left side innervate the esophagus, trachea, and mainly intrinsic laryngeal muscles. On the right side, 89.1% of the cadavers demonstrated 2–5 extra-laryngeal branches. On the left, 74.6% of the cadavers demonstrated 2–3 extra-laryngeal branches. In relation to the inferior thyroid artery (ITA), 67.9% of right RLNs were located anteriorly, while 32.1% were located posteriorly. On the other hand, 32.1% of left RLNs were anterior to the ITA, while 67.9% were related posteriorly. On both sides, 3–5% of RLN crossed in between the branches of the ITA. Anatomical consideration of the variations in the course, branching pattern, and relationship of the RLNs is essential to minimize complications associated with surgical procedures of the neck, especially thyroidectomy and anterior cervical discectomy and fusion (ACDF) surgery. The information gained in this study emphasizes the need to preferentially utilize left-sided approaches for ACDF surgery whenever possible.

scholarly journals An Unusual Branching Pattern of the Axillary Artery

2010 ◽  
Vol 24 (S1) ◽  
Author(s):  
Keerti Singh ◽  
Ramachandra Rao
Keyword(s):  
Axillary Artery ◽  
Branching Pattern

Variation in the branching pattern of axillary artery

2018 ◽  
Vol 67 ◽  
pp. S9-S10
Author(s):  
C. Usha ◽  
N. SuryaKumari ◽  
Subhashini Rani ◽  
C.K.V. Sirisha
Keyword(s):  
Axillary Artery ◽  
Branching Pattern

scholarly journals Variations in branching pattern of the axillary artery: a study in 40 human cadavers

2012 ◽  
Vol 11 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Rajesh Astik ◽  
Urvi Dave
Keyword(s):  
Axillary Artery ◽  
Artery Bypass ◽  
Clinical Signs ◽  
Coronary Bypass ◽  
Signs And Symptoms ◽  
Anatomical Variations ◽  
Common Trunk ◽  
Branching Pattern ◽  
Lateral Thoracic Artery ◽  
Human Cadavers

BACKGROUND: Variations in the branching pattern of the axillary artery are a rule rather than an exception. The knowledge of these variations is of anatomical, radiological, and surgical interest to explain unexpected clinical signs and symptoms. OBJECTIVE: The large percentage of variations in branching pattern of axillary artery is making it worthwhile to take any anomaly into consideration. The type and frequency of these vascular variations should be well understood and documented, as increasing performance of coronary artery bypass surgery and other cardiovascular surgical procedures. The objective of this study is to observe variations in axillary artery branches in human cadavers. METHODS: We dissected 80 limbs of 40 human adult embalmed cadavers of Asian origin and we have studied the branching patterns of the axillary artery. RESULTS: We found variations in branching pattern of axillary artery in 62.5% of the limbs. Anatomical variations included: origin of lateral thoracic artery from the subscapular artery; absent thoracoacromial trunk and all its branches arose directly from the second part of the axillary artery; division of thoracoacromial trunk into deltoacromial and clavipectoral trunks, which were divided into all branches of thoracoacromial trunk; origin of subscapular, anterior circumflex humeral, posterior circumflex humeral and profunda brachii arteries from a common trunk from the third part of the axillary artery; and origin of posterior circumflex humeral artery from brachial artery in addition to third part of the axillary artery. CONCLUSIONS: The study was carried out to show important variations in the branching pattern of axillary artery, in order to orient the surgeons performing angiography, coronary bypass, and flaps in reconstructive surgeries.

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