International Journal of Anatomy and Research



Welcome to International Journal of Anatomy and Research

b2

 

b3

Type of Article: Case Report

Year: 2016 | Volume 4 | Issue 1 | Page No. 2047-2051

Date of Publication: 31-03-2016

DOI: http://dx.doi.org/10.16965/ijar.2015.313


AN UNUSUAL AXILLARY ARTERY VARIATION

Pallab Kumar Saha 1, Tanwi Ghosal (Sen) * 2, Parijat Mukherjee 2, Anupam Baske 2, Maitreyi Mondal 3, Sudeshna Majumder 4.

1 Assistant Professor, Department of Anatomy, North Bengal Medical College, Darjeeling, West Bengal, India.
*2 Junior Resident, Department of Anatomy, North Bengal Medical College, Darjeeling, West Bengal, India.
3 Associate Professor, Department of Anatomy, North Bengal Medical College, Darjeeling, West Bengal, India.
4 Professor and Head, Department of Anatomy, North Bengal Medical College, Darjeeling, West Bengal, India.

Address: Dr Tanwi Ghosal (Sen), Junior Resident, Department of Anatomy, North Bengal Medical College, Darjeeling, West Bengal, India.
E-Mail: tanwighosal@gmail.com, parijat1000@gmail.com

Abstract

Background: Axillary artery is the continuation of 3rd part of the subclavian artery and then it is continued as brachial artery at the distal border of teres major.
Objectives: To document unusual variations of axillary artery and to establish embryological & clinico-anatomical correlation of such variation.
Case Report:  These finding was observed after meticulous dissection of the upper limbs of both sides of a 75 yr old female cadaver in the department of Anatomy, NBMC, India.
Observations:  A rare type of upper limb arterial pattern was observed on the right side of a cadaver during routine dissection. Anterior humeral circumflex, posterior humeral circumflex, sub scapular, superficial and deep brachial artery, all were derived from axillary artery at the level of teres major muscle. Deep brachial artery was crossed by superficial brachial artery in the lower part of arm. Then they were continued as radial and ulnar artery in the forearm.
Conclusion: This variation was useful for physicians, surgeons & radiologist.
Key words: Axillary, Superficial brachial, Deep brachial, Common interosseus artery.

References

  1. Dutta A.K.  Essentials of Human Anatomy, Superior and Inferior Extremities Part – III 4TH Edition Kolkata current Books International 2013. Page 47,61.
  2. Standring S, editor-in-chief, Gray’s Anatomy.. The anatomical basis of   clinical practice. In pectoral girdle, shoulder region and axilla. 40thedition New York:                                    Churchill Liviegstone Elsevier; 2008; p 817,827 .
  3. De Garis, C.F, Swartley, W.B. The axillary artery in white and negro stocks. American Journal of Anatomy. 1928;41:353-397.
  4. Trotter M, Henderson JL, Gass H, Brua RS,Weisman S, Agress H, Curtis GH,Westbrook ER. The origins of branches of the axillary artery in whites and in American negroes. Anat Rec. 1930;46:133-137.
  5. Huelke DF. Variation in the origins of the branches of the axillary artery. Anat Rec. 1959;35:33–41.
  6. Bergman RA, Thompson SA, Afifi AK, Saadeh FA.Compendium of human anatomic variation. Baltimore: Urban & Schwarzenberg; 1988.
  7.   Standring S.Gray’s anatomy: The anatomical basis of clinical practice. In: Upper arm Chapter 50. Spain: 39th edn.2006; pp.856, Elsevier Churchill Livingstone, New York.
  8. Adachi B. [Das Arteriensystem der Japaner]. In: Anatomie der Japaner. Vol I. Kyoto: Verlag der Kaiserlich, 1928. German. p-365.
  9. McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns. Surg Gynecol Obstet. 1953;96:43-54.
  10.  Hamilton WJ, Mossman HW, eds. Cardiovascular System. In: Human Embryology. 4th Ed, Baltimore, Williams and Wilkins. 1972;271-290.
  11. K. M. R. Bhat, S. Gowda, B. K. Potu, and M. S. Rao. A Unique branching pattern of the axillary artery in a South Indian male cadaver.” Bratislava Medical Journal. 2008;109(12):587-589.
  12. Tan C B, Tan CK. An unusual course and relations of the human axillary artery. Singapore Med J 1994;35:263-264.
  13. Jurjus AR, Correa-De-Aruaujo R, Bohn RC. Bilateral double axillary artery: embryological basis and clinical implications, Clin Anat 1999;12:135-140.
  14. Arey LB. Arteries of the limbs. In: Developmental Anatomy. 1st ed.  Philadelphia: WB Saunders, 1966: p-358-9.
  15. Nigst H, Buck- Gramcko, Millesi H, Lister G.D., Hand Surgery; Systematic Anatomy of the Hand; Vessels of the Hand: India & Newyork: Jaypee and Thieme. p- 1.30-1.35.
  16. Anuradha L,Prabhu LV,Kumar A.Report on an anomalous pattern in the upper limb with its anatomical and clinical implication.J Anat Soc India,2001;50(1):69-98.
  17. Gonzalez-Compta X. Origin of the radial artery from the axillary artery and associated hand vascular anomalies. Journal of Hand Surg. 1991;16A:293–296.
  18. Cavadar S, Zeybek A, Bayramicli M. Rare variation of the Axillary artery. Clinical anatomy,2000;13:66-68 .
  19. Shoulder joint. In: Decker GAG, duplessis DJ. Lee Mc Gregor’s Synopsis of Surgical Anatomy 12th ed. Mumbai: K. M. Varghese Company, 1986;451.
  20. Cervicobrachial region. In: Samuel L Turek’s orthopaedics: Vol 2. 4th ed. New Delhi: Jaypee brothers, 1989;913.
  21. Williams, P. L; Bennister, LH; Berry, M.M; Collins, P; Dyson, M; Dussek, J.E & Ferguson, M.W.J. Gray’s Anatomy. In: Cardiovascular system. Gabella, G. Ed. 38th Ed. Edinburg, Churchill. Livingestone, 1995;37-38.

 

Pallab Kumar Saha, Tanwi Ghosal (Sen), Parijat Mukherjee, Anupam Baske, Maitreyi Mondal, Sudeshna Majumder. AN UNUSUAL AXILLARY ARTERY VARIATION: A CASE REPORT. Int J Anat Res 2016;4(1):2047-2051. DOI: 10.16965/ijar.2015.313

b2



b3




Search

Volume 1 (2013)

Volume 2 (2014)

Volume 3 (2015)

Volume 4 (2016)

Submit Manuscript