Variations in the Axillary Artery Branching Pattern Anatomy Section
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Redalyc.Variations in Branching Pattern of the Axillary Artery: a Study
Jornal Vascular Brasileiro ISSN: 1677-5449 [email protected] Sociedade Brasileira de Angiologia e de Cirurgia Vascular Brasil Astik, Rajesh; Dave, Urvi Variations in branching pattern of the axillary artery: a study in 40 human cadavers Jornal Vascular Brasileiro, vol. 11, núm. 1, marzo, 2012, pp. 12-17 Sociedade Brasileira de Angiologia e de Cirurgia Vascular São Paulo, Brasil Available in: http://www.redalyc.org/articulo.oa?id=245023701001 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative ORIGINAL ARTICLE Variations in branching pattern of the axillary artery: a study in 40 human cadavers Variações na ramificação do padrão da artéria axilar: um estudo em 40 cadáveres humanos Rajesh Astik1, Urvi Dave2 Abstract 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. -
ANGIOGRAPHY of the UPPER EXTREMITY Printed in the Netherlands by Koninklijke Drukkerij G.J.Thieme Bv, Nijmegen ANGIOGRAPHY of the UPPER EXTREMITY
1 f - h-' ^^ ANGIOGRAPHY OF THE UPPER EXTREMITY Printed in The Netherlands by Koninklijke drukkerij G.J.Thieme bv, Nijmegen ANGIOGRAPHY OF THE UPPER EXTREMITY PROEFSCHRIFT ter verkrijging van de graad van Doctor in de Geneeskunde aan de Rijksuniversiteit te Leiden, op gezag van de Rector Magni- ficus Dr. A. A. H. Kassenaar, Hoogleraar in de faculteit der Geneeskunde, volgens besluit van het college van dekanen te verdedigen op donderdag 6 mei 1982 te klokke 15.15 uur DOOR BLAGOJA K. JANEVSKI geborcn 8 februari 1934 te Gradsko, Joegoslavie MARTINUS NIJHOFF PUBLISHERS THE HAGUE - BOSTON - LONDON 1982 PROMOTOR: Prof. Dr. A. E. van Voorthuisen REPERENTEN: Prof. Dr. J. M. F. LandLandsmees r 1 Prof. Dr. J. L. Terpstra ! I Copyright © 1982 by Martinus Nijhoff Publishers, The Hague All rights reserved. No part of this publication may be repro- duced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the pub- lishers, Martinus Nijhoff Publishers,P.O. Box 566,2501 CN The Hague, The Netherlands if ••»• 7b w^ wife Charlotte To Lucienne, Lidia and Dejan h {, ,;T1 ii-"*1 ™ ffiffp"!»3^>»'*!W^iyJiMBiaMMrar^ ACKNOWLEDGEMENTS This thesis was produced in the Department of Radiology, Sirit Annadal Hospital, Maastricht. i Case material: Prof. Dr. H. A. J. Lemmens, surgeon. Technical assistence: Miss J. Crijns, Mrs. A. Rousie-Panis, Miss A. Mordant and Miss H. Nelissen. Secretarial help: Mrs. M. Finders-Velraad and Miss Y. Bessems. Photography: Mr. C. Evers. Graphical illustrations: Mr. C. Voskamp. Correction English text: Dr. -
Anatomical Study of the Clavicular Branch of the Thoracoacromial Artery
MOJ Anatomy & Physiology Research Article Open Access Anatomical study of the clavicular branch of the thoracoacromial artery Abstract Volume 7 Issue 3 - 2020 Introduction: The etiology and the complexity of losses of substances from the chest Philippe Manyacka Ma Nyemb,1,2 Christian wall cause technical difficulties during their reconstruction. In order to obtain the best Fontaine,3 Véronique Duquennoy-Martinot,4 possible functional and morphological results, it is important to appreciate the lesions. 3,5 When considering soft tissue reconstruction, the dimensions, location and shape of losses Xavier Demondion 1Department of Anatomy and Organogenesis, Gaston Berger of substances, as well as the reliability and the arc of rotation of the chosen flap, must University, Senegal be taken into account. The perforator flap of the thoracoacromial artery and its vascular 2Department of General Surgery, Regional Hospital, Senegal anatomical bases have been recently studied, concerning the pectoral and deltoid branches. 3Department of Anatomy and Organogenesis, University de Lille The clavicular branch has only been rarely studied. We propose to study anatomically the 2, France clavicular branch of the thoracoacromial artery, in terms of constancy, dimensions and 4Department of Plastic, Esthetic and Reconstructive Surgery, direction, in order to give to practitioners an additional option in the surgery of perforator Lille University Hospital, France flaps of the cervical region. 5Department of Musculoskeletal Imaging, Lille University Hospital, France Material and methods: We carried out a direct and selective injection of 24 thoracoacromial arteries, on corpses preserved in a low-formalin solution rich in glycerin. The injected Correspondence: Philippe Manyacka MA Nyemb, Laboratory solution was made from a mixture of methylene blue and gelatin. -
Variation of the Origin of the Lateral Thoracic Artery. Case Report
Revista Română de Anatomie funcţională şi clinică, macro- şi microscopică şi de Antropologie Vol. XVII – Nr. 4 – 2018 CLINICAL ANATOMY VARiation OF THE ORIGin OF THE LatERAL THORacic ARTERY. CASE REPORT Tamás-Csaba Sipos2, Lóránd Dénes1*, Klara Brînzaniuc1, Annamária Szántó1, Zoltán Pávai1, Zsuzsánna Pap1 University of Medicine, Pharmacy, Sciences and Technology of Tîrgu-Mureş 1. Department of Anatomy and Embryology 2. Student, GM 6th year VARIATION OF THE ORIGIN OF THE LATERAL THORACIC ARTERY. Case RePORT (Abstract): Introduction: Anatomical variations of the origin of axillary artery branches are quite common. The most frequent variations are common trunks or emergence from a different segment than the classical description. Material and method: A formalin fixed male human cadaver has been dissected during teaching classes for medical students at the Anatomy and Embryology De- partment of UMFST Târgu Mureş. We observed a pattern of origins of the axillary artery branch- es different from the classical description. Results: The second part of the axillary artery provides the superior thoracic artery and the thoraco-acromial artery from its anterior surface, while the subscapular artery separates from its posterior surface. The lateral thoracic artery is a branch of the subscapular artery. The anterior and posterior circumflex humeral arteries come from the third part of the axillary artery, which corresponds to the classical description. Conclusions: Published studies report multiple variations regarding the origin of the axillary artery branches. Most com- monly, the lateral thoracic artery originates from the subscapular artery, which is the case in our study as well. Key-words: LATERAL THORACIC ARTERY, vaRIATION, SUBSCAPULAR ARTERY INTRODUCTION provides six branches, which are grouped ac- Arterial supply to the thoraco-scapulo-hu- cording to its parts: the first part gives off the meral area is provided by the branches of the superior thoracic artery, the second part pro- axillary artery. -
Branches of Axillary Artery for PDF 13.5.11
Diagram of branches Acromial Br lar Br icu of axillary artery Clav rtery mial a oacro Thorac Deltoid Br t 1st Par d 2n Superior thoracic artery Anterior Pectoral Br circumflex t Par Pectoralis minor humeral d artery 3r Sub- scapular artery Lateral thoracic artery Circumflex scapular artery Posterior circumflex humeral artery TheFromFrom axillary 1st2nd3rd part part artery (a)superior .(a) (a) subscapular begins The thoracoacromial thoracic at the runs outer– itdown runs border artery within along the of– a the thestoutlong firstfirst subscapularshort ribintercostal trunk,and ends nerve,which space. at projustthe- lowerjectswithin border forwardthe posterior of over terres theaxillary major inner ,fold. where boarder Near it continuesof the pectoralis lower as angle the minor brachial of theand scapula dividesartery. itinto divides four branches.into two, one (i) side clavicular, goes to runs the sideup over of the subclavius chest, the ; (ii) other pectoral to the is deep large surface and runs of Thedownthe latissimusaxillary between artery with the runsthetwo longacrosspectorals subscapular the withsuperior the nerve. externalaspect Near of anterior theits origin axilla thoracic itand gives is markednerve, off a large and by asuppliesbranch, line drawn thethese circumflexfrom muscles; the middle scapular(iii) acromial, of the artery, clavicle usually which to comes apasses point off backhalf-way a common through between trunk the “triangu withthe two the- condylesdeltoid,lar space” andof tothe runs the humerus, back dorsum beneath when of the the scapula. deltoidarm is raisedtoward(b) The to the anteriora right acromion; angle. circumflex and (iv) humeral deltoid runsartery down which beside is a smallthe cephalic artery thatvein, passes in a groove out across between the frontdeltoid of andthe pectoralishumerus, Itmajor,sending is divided and a branch endsinto threein up these to partsthe muscles. -
A High Origin Subscapular Trunk and Its Clinical Implications
ogy iol : Cu ys r h re P n t & R Anatomy & Physiology: Current y e s m e o a t Ariyo, Anat Physiol 2018, 8:2 r a c n h A Research DOI: 10.4172/2161-0940.1000296 ISSN: 2161-0940 Case Report Open Access A High Origin Subscapular Trunk and its Clinical Implications Olutayo Ariyo* Department of Pathology Anatomy and Cell Biology, SKMC, Thomas Jeffesron University, Philadelpphia, PA United States *Corresponding author: Olutayo Ariyo, Department of Pathology Anatomy and Cell Biology, SKMC, Thomas Jeffesron University, Philadelpphia, PA United States, Tel: 610-638-9278; E-mail: [email protected] Received date: May 07, 2018; Accepted date: May 24, 2018; Published date: May 28, 2018 Copyright: © 2018 Ariyo O. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Important variations in the arrangement of branches of the axillary artery revolve around the origin of the subscapular artery. The case of a "high origin" subscapular artery as a common trunk to lateral thoracic, common circumflex humeral trunk in the left upper limb of a 72 year-old female cadaver, is discussed. This variant trunk originated posterior to the pectoralis minor muscle about 2-3 cm posteroinferior to that of the thoracoaromial artery. Trunk formations in the axillary artery with four or more branches sharing a common stem of origin are infrequent compared with those with fewer numbers. In certain surgical orthopedic procedures, surgeons sometimes administer a ligature in the 3rd part of the artery, relying on a suprascapular/dorsal scapular-circumflex scapular colateral pathway to dump blood into the artery distal to the ligature. -
UNILATERAL VARIATION in the BRANCHING PATTERN of AXILLARY ARTERY: a CADAVERIC STUDY Ranjana Verma *1, Sabita Mishra 2, Anita Mahajan 3
International Journal of Anatomy and Research, Int J Anat Res 2014, Vol 2(1):292-94. ISSN 2321- 4287 Image Article UNILATERAL VARIATION IN THE BRANCHING PATTERN OF AXILLARY ARTERY: A CADAVERIC STUDY Ranjana Verma *1, Sabita Mishra 2, Anita Mahajan 3. *1 Assistant Professor, 2 Professor, 3 Professor. Department of Anatomy, MaulanaAzad Medical College, New Delhi, India. ABSTRACT During routine dissection of upper extremity in a 55-year-old male cadaver we noted a rare variation in the branching pattern of the axillary artery on the left side. The second part of the axillary artery was the source of all the branches of the axillary artery which arise normally from second and third part. The third part of axillary artery was related to the branches of brachial plexus and without giving any branches continued as brachial artery at the lower border of teres major. This finding has an embryological basis and clinical relevance. These variations in the branching pattern of axillary artery may be due to deviation in the development of the vascular plexus of the limb bud. Awareness of variation of axillary artery may serve as a guide for both radiologists and vascular surgeons. During surgeries for lymph nodes in the axilla and pectoral region, presence of such variations must be kept in mind. KEYWORDS: Axillary artery; Collateral branch; Accessory subscapular artery. Address for Correspondence: Dr. Ranjana Verma, Assistant Professor, Dept. of Anatomy, Maulana Azad Medical College, New Delhi 110002, India. E-Mail: [email protected] Access this Article online Quick Response code Web site: International Journal of Anatomy and Research ISSN 2321-4287 www.ijmhr.org/ijar.htm Received: 05 Feb 2014 Peer Review: 05 Feb 2014 Published (O):30 March 2014 Accepted: 27 Feb 2014 Published (P):30 March 2014 INTRODUCTION artery runs along the lateral border of pectoralis Variation in the origin, branching and course of minor and supplies the thoracic wall. -
Common Arterial Trunk from Third Part of Axillary Artery
Jemds.com Case Report Common Arterial Trunk from Third Part of Axillary Artery Darshna Gulabrao Fulmali1, Preeti Prabhakarrao Thute2, Harsha Atul Keche3, Vilas Keshavrao Chimurkar4 1, 2, 3, 4 Department of Anatomy, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India. PRESENTATION OF CASE During usual dissection of the upper extremity for the first year MBBS students in the Corresponding Author: Department of Anatomy, we observed unilateral variant branching pattern of third Dr. Darshna Gulabrao Fulmali, part of axillary artery on the right side in a middle aged male cadaver. Course and Department of Anatomy, branching pattern of first, second and third part of axillary artery on the left side was Aaditya Residency, Sarthak, Banglow No. 2, Sawangi Meghe found to be normal. On the right side also, course and branches of axillary artery were Wardha, Maharashtra, India. found to be normal in its first and second part but axillary artery in its third part E-mail: [email protected] divided in to two equal calibre arterial trunks lateral and medial. Lateral common arterial trunk courses laterally for a distance of 1 cm and then passes through two DOI: 10.14260/jemds/2020/765 roots of median nerve. Further in its course it gives three branches, anterior circumflex humeral from anterolateral aspect, posterior circumflex humeral from How to Cite This Article: posterolateral surfaces and subscapular artery from anteromedial surfaces and the Fulmali DG, Thute PP, Keche HA, et al. trunk continues as profunda brachii artery which runs along with radial nerve Common arterial trunk from third part of axillary artery. -
Bilateral Alar Thoracic Artery
Folia Morphol. Vol. 64, No. 1, pp. 59–64 Copyright © 2005 Via Medica CASE REPORT ISSN 0015–5659 www.fm.viamedica.pl Bilateral alar thoracic artery Mugurel Constantin Rusu Department of Anatomy and Embryology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania [Received 18 November 2004; Revised 21 January 2005; Accepted 21 January 2005] During a routine dissection a superficial artery was observed coursing subcuta- neously at the anterior border of the axillary base towards the thoracic wall and bilaterally at the lower border of the pectoralis major muscle. On the right side it originated from the 3rd part of the axillary artery but on the opposite side the origin was from the first centimetre of a left radial artery originating directly from the axillary artery together with the left brachial artery. Apart from the bilateral absence of the deep brachial artery, no other anomalies were identified at this level. This variant corresponds to the alar thoracic artery, an unusual and rarely reported artery. The literature on the subject contains no reference either to the bilateral evidence for the alar thoracic artery or to the possibility of an origin from a high radial artery. The presence of such an alar thoracic artery may interfere with surgical access within the axillary fossa and should be taken into consideration. Key words: bilateral alar thoracic artery, axillary artery, radial artery INTRODUCTION — a variable branch arising from the 3rd part of the To explain the existence of arterial variations in axillary artery and supplying the fascia and lymph the upper limb of the adult several hypotheses have nodes of the axilla [3]. -
Blood Vessels and Lymphatics of the Upper Limb Axillary Artery • Course: – It Starts at the Outer Border of the 1St Rib As a Continuation of the Subclavian Artery
Blood vessels and lymphatics of the upper limb Axillary artery • Course: – It starts at the outer border of the 1st rib as a continuation of the subclavian artery. – It is divided by the covering pectoralis minor muscle into 3 parts: • 1st part, is proximal to pectoralis minor. • 2nd part, is under cover the pectoralis minor. • 3rd part, is distal to the pectoralis minor. • It ends at the lower border of the teres major muscle which it continues as the brachial artery. • Relations: • Anterior: muscles of the pectoral muscles and clavipectoral fascia. • Posterior: muscles of the posterior wall of axilla and posterior cord of the brachial plexus. • Medially: the axillary vein and the medial cord of the brachial plexus. • Laterally: the lateral cord of the brachial plexus. • Branches: – 1st part: (one branch): • The superior thoracic artery: which supplies the upper part of the chest wall. – 2nd part: (two branches): • Thoraco-acromial artery: on the upper border of the pectoralis minor, which supplies the pectoral and shoulder regions. It gives off: Acromial, pectoral, clavicular & deltoid branches. • Lateral thoracic artery: on the lower border of the pectoralis minor, which supplies the pectoral region and the breast. – 3rd part: (three branches): • Subscapular artery: it descends on the lateral border of the scapula and it gives off circumflex scapular artery. It supplies the back of shoulder. • Posterior circumflex humeral artery: it accompanies the axillary nerve on the back of the surgical neck of the humerus. • Anterior circumflex humeral artery: in front of the surgical neck of the humerus. • Anastmosis related to the axillary artey: – Anastmosis around the scapula: formed by: • Suprascapular artery, form the thyrocervical trunk. -
Axilla & Brachial Plexus
Anatomy Guy Dissection Sheet Axilla & Brachial Plexus Dr. Craig Goodmurphy Anatomy Guy Major Dissection Objectives 1. Review some of the superficial veins and nerves and extrapolate skin incisions down the arm while sparing the cephalic and basilic veins 2. Secure the upper limb in an abducted position and review the borders of the axilla while reflecting pec major and minor. 3. You may need to remove the middle third of the clavicle with bone cutters or oscillating saw 4. Identify and open the axillary sheath to find the axillary vein and separate it away from the arteries and nerves 5. Once it is mobilized remove smaller veins and reflect the axillary vein medially Major Dissection Objectives Arteries 6. Locate and clean the subclavian artery as it becomes the axillary a. at the first rib. 7. Identifying part 1, 2 and 3 of the axillary artery as they relate to pectoralis minor 8. Identify & clean the thoracoacromial trunk and its branches along with the lateral thoracic artery 9. Clean the subscapular artery and follow it to the circumflex scapular and thoracodorsal branches removing the fat of the region and noting variations and lymph nodes that may be present. 10. Locate the posterior and anterior humeral circumflex arteries and the brachial artery Eastern Virginia Medical School 1 Anatomy Guy Dissection Sheet Axilla & Brachial Plexus Major Dissection Objectives Nerves 11. Review the parts of the brachial plexus with roots in the scalene gap, trunks superior to the clavicle, divisions posterior to the clavicle, cords and branches inferior to the clavicle. 12. Locate the musculocutaneous nerve laterally as it pierces the coracobrachialis m. -
Anatomical Evaluation of Lateral Thoracic Artery in Cadavers in North Indian Population
International Journal of Medical and Health Research Original Research Article International Journal of Medical and Health Research ISSN: 2454-9142 Received: 20-08-2018; Accepted: 22-09-2018 www.medicalsciencejournal.com Volume 4; Issue 10; October 2018; Page No. 178-180 Anatomical evaluation of lateral thoracic artery in cadavers in North Indian population Dr. Rekha Sinha1, Dr. Mundrika PD Sudhanshu2* 1 Assistant Professor, Department of Anatomy, Patna Medical College, Patna, Bihar, India 2 Professor and Head, Department of Anatomy, Patna Medical Callege, Patna, Bihar, India *Corresponding author: Dr. Mundrika Pd Sudhanshu Abstract The lateral thoracic artery follows the lower border of the Pectoralis minor to the side of the chest, supplying the Serratus anterior and the Pectoralis, and sending branches across the axilla to the axillary glands and Subscapularis; it anastomoses with the internal mammary, subscapular, and intercostal arteries, and with the pectoral branch of the thoracoacromial. Based on the literature findings the present study was planned to evaluate the arterial pattern of lateral thoracic artery in human cadavers. As this study is helpful to know the type and frequency of vascular variations. The present study was planned in Department of Anatomy in Patna Medical College to assess the arterial pattern of lateral thoracic artery in human cadavers. The study was planned on 30 cadaveric subjects. The axillae from embalmed cadavers allotted for dissection in the Department of Anatomy used for the study. The knowledge of these variations is necessary for the surgeons considering the frequency of procedures performed in this region. The absence of branches from the second and third parts of axillary artery may be responsible for compromised collateral circulation between the branches.