تقرير
Bilateral variation in the branching pattern of the subclavian artery: an unusual finding with clinical implications.
| العنوان: | Bilateral variation in the branching pattern of the subclavian artery: an unusual finding with clinical implications. |
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| المؤلفون: | Kumar N; RAK Medical & Health Sciences University, Ras Al Khaimah College of Medical Sciences, Ras Al Khaimah, United Arab Emirates., Paul VS; RAK Medical & Health Sciences University, Ras Al Khaimah College of Medical Sciences, Ras Al Khaimah, United Arab Emirates., Bhat KMR; RAK Medical & Health Sciences University, Ras Al Khaimah College of Medical Sciences, Ras Al Khaimah, United Arab Emirates., Aithal AP; Manipal Academy of Higher Education, Department of Basic Medical Sciences, Manipal, India. |
| المصدر: | Jornal vascular brasileiro [J Vasc Bras] 2023 Mar 27; Vol. 22, pp. e20220147. Date of Electronic Publication: 2023 Mar 27 (Print Publication: 2023). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Angiologia e Cirurgia Vascular Country of Publication: Brazil NLM ID: 101262256 Publication Model: eCollection Cited Medium: Internet ISSN: 1677-7301 (Electronic) Linking ISSN: 16775449 NLM ISO Abbreviation: J Vasc Bras Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Salvador, BA : Sociedade Brasileira de Angiologia e Cirurgia Vascular, [2002]- |
| مستخلص: | The subclavian artery is a significant branch of the aortic arch. We present a rare case of a bilateral variation in the branching pattern of the subclavian artery, observed in an adult male cadaver aged 70 years. On both the sides of the neck, all the branches of the subclavian artery took their origin from its first part. There was a rare occurrence of a cervicodorsoscapular trunk, which gave rise to superficial cervical, suprascapular, and dorsal scapular arteries. The same branching pattern was observed on the left side of the neck, with the presence of another cervicodorsoscapular trunk. Thyrocervical trunk and transverse cervical artery were both absent from the cervical region bilaterally. The inferior thyroid artery was a direct branch from the subclavian artery. Knowledge regarding variations of the subclavian artery is very important as lateral cervical region arteries are important for flap harvesting in plastic and reconstruction surgery. Preoperative radiologic evaluation of pedicles might help in choosing the optimal flap design, prevent ischemic complications, and help to improve overall treatment outcomes. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2023 The authors.) |
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| فهرسة مساهمة: | Keywords: cervicodorsoscapular trunk; lateral cervical; subclavian artery; thyrocervical trunk; variation Local Abstract: [Publisher, Portuguese] A artéria subclávia é um ramo significativo do arco da aorta. Apresentamos um caso raro de variação bilateral do padrão de ramificação da artéria subclávia, observada em um cadáver adulto do sexo masculino de 70 anos. Em ambos os lados do pescoço, todos os ramos da artéria subclávia originavam-se de sua primeira parte. Houve rara ocorrência de tronco escapular cervical dorsal, que deu origem às artérias cervical superficial, supraescapular e escapular dorsal. O mesmo padrão de ramificação foi observado no lado esquerdo do pescoço, com a presença de tronco escapular cervical dorsal. O tronco tireocervical e a artéria cervical transversa estavam ausentes em ambas as regiões cervicais direita e esquerda. A artéria tireóidea inferior consistia em um ramo direto da artéria subclávia. O conhecimento das variações da artéria subclávia é fundamental, pois as artérias da região cervical lateral são importantes para a obtenção de retalhos em cirurgias plásticas e reconstrutivas. A avaliação radiológica pré-operatória dos pedículos pode ajudar na escolha do desenho ideal do retalho, prevenir complicações isquêmicas e ajudar a melhorar o resultado geral do tratamento. |
| تواريخ الأحداث: | Date Created: 20230410 Latest Revision: 20230411 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10075211 |
| DOI: | 10.1590/1677-5449.202201472 |
| PMID: | 37032660 |
| قاعدة البيانات: | MEDLINE |
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