scholarly journals Lateral Thoracic Artery

2020 ◽  
Author(s):  
2000 ◽  
Vol 13 (03) ◽  
pp. 141-145 ◽  
Author(s):  
J. Gardner ◽  
R. Allnutt ◽  
R. A. S. White ◽  
S. J. Baines

SummaryThe vascular anatomy of the deep pectoral muscle in the cat was defined by contrast radiography of twelve deep pectoral muscles from six feline cadavers. The deep pectoral, muscle in the cat was found to have a type V vascular pattern with a dominant pedicle based on the lateral thoracic artery, with a contribution from the external thoracic artery, and secondary segmental pedicles arising from the internal thoracic artery, with numerous anastomoses between these two vascular fields. Following division of the sternal origin and elevation of the muscle flap, perfusion of the entire muscle from the dominant pedicle was identified. Transposition of the muscle flap within a wide arc of rotation was possible to include the chest wall, sternum, axilla and medial forelimb. This study demonstrates the potential suitability of the deep pectoral muscle flap for use in reconstructive surgery.The feline deep pectoral muscle has a type V vascular pattern, with a dominant pedicle based on the lateral thoracic artery, with a contribution from the external thoracic artery, and secondary segmental pedicles arising from the internal thoracic artery A clinically useful flap, supplied by the dominant pedicle, may be developed by incising the sternal origin of the muscle.


2012 ◽  
Vol 11 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Rajesh Astik ◽  
Urvi Dave

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.


2017 ◽  
Vol 209 ◽  
pp. 70-78
Author(s):  
Seçkin Aydın Savaş ◽  
Tahsin Gorgulu ◽  
Cumhur İbrahim Başsorgun ◽  
Arzu Akcal

2006 ◽  
Vol 57 (4) ◽  
pp. 475-476 ◽  
Author(s):  
Marios Loukas ◽  
Robert G. Louis ◽  
Christopher T. Wartmann

2003 ◽  
Vol 11 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Christopher Robert Geddes ◽  
Maolin Tang ◽  
Daping Yang ◽  
Steven F Morris

Background Musculocutaneous perforator flaps offer advantages over musculocutaneous flaps, including reduced donor site morbidity, more predictable reconstruction of soft tissue deformities, and a wider variety of flap options. Perforator flaps are becoming increasingly popular for many applications. In the present study, we set out to examine the various perforators of the thoracoacromial axis through the pectoralis major (PM) muscle with respect to their suitability for transfer to the head and neck region as a pedicled flap. Methods A series of 10 fresh cadavers were injected with lead oxide, gelatin and water (250 mL/kg) through the femoral vessels. The cadavers were cooled and the integument was removed. Perforating vessels from the underlying muscles were marked and the resulting angiograms of the integument and deep tissues were compared with the dissection notes describing the course, size and distribution of the perforating vessels. Results The perforators through the PM muscle to the overlying skin included three regional groups: perforators of the thoracoacromial axis; perforators of the medial intercostal vessels; and perforators of the lateral thoracic artery. The major group of perforators supplying the overlying skin was from the intercostal vessels. However, the thoracoacromial axis did consistently give rise to perforators in the upper portion of the PM muscle. In particular, there were reliable perforators from the clavicular and deltoid branches of the thoracoacromial artery. Discussion The present study illustrates the potential clinical applications of a series of perforator flaps based on the thoracoacromial axis, which may be useful in head and neck reconstructive surgery.


2002 ◽  
Vol 43 (2) ◽  
pp. 167-169
Author(s):  
S. Salerno ◽  
G. G. Mercadante ◽  
A. Rabiolo ◽  
M. L. Furnari ◽  
F. Pardo

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Matthew Pontell ◽  
Dane Scantling ◽  
Jessica Babcock ◽  
Alexander Trebelev ◽  
Alberto Nunez

2020 ◽  
Vol 47 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Soni Soumian ◽  
Rishikesh Parmeshwar ◽  
Mihir Chandarana ◽  
Sekhar Marla ◽  
Sankaran Narayanan ◽  
...  

Background Perforator artery flaps based on the branches of intercostal arteries and lateral thoracic artery can be used for reconstruction after breast-conserving surgery (BCS). Although described more than a decade ago, these have not been adopted widely in clinical practice. We report on short-term and long-term surgical outcomes of partial breast reconstruction using chest wall perforator flaps from a prospective multicenter audit.Methods All patients operated for BCS and partial breast reconstruction using intercostal artery perforator or lateral thoracic artery perforator flaps from January 2015 to October 2018 were included in the analysis. Oncoplastic breast surgeons with appropriate level of training performed all tumor excisions and reconstructions as a single-stage procedure. Patient characteristics, treatment details and surgical outcomes were noted. Specific outcomes recorded were margin re-excision and complication rates.Results One hundred and twelve patients underwent the procedure in the given study period. The median age was 54 years. Median specimen weight was 62.5 g and median volume of excision was 121.4 mL. Fifteen patients (13.39%) underwent a margin re-excision for close or positive margins without additional morbidity. One patient required a completion mastectomy. Eight patients (7.14%) had an early complication. None of the patients required a contralateral symmetrization procedure. The results were comparable across the participating centers.Conclusions Chest wall artery perforator-based flaps are an excellent option for lateral and inferior quadrant partial breast reconstructions. The short and long-term surgical outcomes are comparable across sites and can be performed with minimal morbidity. Patient-reported outcome measures need to be studied.


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