A Left Axillary Artery Variation: Case Report
Abstract
Fetal abnormalities can cause axillary artery variations. Recognize and document of these variations are essential for surgeons performing interventional or diagnostic procedures for cardiovascular diseases. During routine dissection of an old female cadaver in the department of anatomy of Islamic Azad University, Tehran of Medical Sciences, we came across a variation in the branching pattern of the left axillary artery. The third part of the left axillary artery gave rise to a common trunk which was divided into the subscapular, lateral thoracic, posterior, and anterior circumflex humeral arteries.
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12. Astik R, Dave U. Variations in branching pattern of the axillary artery: a study in 40 human cadavers. J. vasc. Bras. 2012; 11 (1): 12-17.
13. Baur, N., Stinnett, T. and Green, D.J. (2017), Variation in the Branching Pattern of the Axillary Artery. The FASEB Journal, 31: 896.7-896.7. Patnaik VVG, Kalse G, Singla RK. Bifurcation of axillary artery in its 3rd part- a case report. J Anat Soc India. 2001; 50:166–69.
14. Stone MA, Ihn HE, Gipsman AM, Iglesias B, Minneti M, Noorzad AS, Omid R. Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery. J Shoulder Elbow Surg. 2021 Jun;30(6):1266-1272. doi: 10.1016/j.jse.2020.09.018. Epub 2020 Oct 15. PMID: 33069906.
15. surgery. J Shoulder Elbow Surg. 2021 Jun;30(6):1266-1272. doi: 10.1016/j.jse.2020.09.018. Epub 2020 Oct 15. PMID: 33069906.
16. Ezatiyazdani D, Vardiyan R, Shahedi A. A case report of a variation from the third part of the axillary artery (Branching of the lateral thoracic artery from the third part of the axillary artery). JSSU. 2020; 27 (9):1859-1863.
17. Stone MA, Ihn HE, Gipsman AM, Minneti M, Noorzad MS, et al. Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery. JSES. 2021; 30 (6): 1266-1272.
2. Thiel R, Munjal A, Daly DT. Anatomy, Shoulder and Upper Limb, Axillary Artery. 2020 Aug 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 29489298.
3. Okwumabua E, Thompson JH. Anatomy, Shoulder and Upper Limb, Axillary Nerve. 2020 Aug 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 29630264.
4. Lavingia KS, Dua A, Stern JR. Upper extremity access options for complex endovascular aortic interventions. J Cardiovasc Surg (Torino). 2018 Jun;59(3):360-367. doi: 10.23736/S0021-9509.18.10342-9. Epub 2018 Jan 9. PMID: 29327566.
5. Lung K, Lui F. Anatomy, Thorax, Long Thoracic Nerve. 2020 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 30571017.
6. Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR, et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat. 1995 Oct;187 ( Pt 2)(Pt 2):473-9. PMID: 7592009; PMCID: PMC1167441.
7. Burzotta F, Brancati MF, Porto I, Saffioti S, Aurigemma C, Niccoli G, et al. Comparison of Right and Left Upper Limb Arterial Variants in Patients Undergoing Bilateral Transradial Procedures. Circ Cardiovasc Interv. 2015 Dec;8(12):e002863. doi: 10.1161/CIRCINTERVENTIONS.115.002863. PMID: 26643739.
8. Aizawa Y, Isogai S, Izumiyama M, Horiguchi M. Morphogenesis of the primary arterial trunks of the forelimb in the rat embryos: the trunks originate from the lateral surface of the dorsal aorta independently of the intersegmental arteries. Anat Embryol (Berl). 1999 Dec;200(6):573-84. doi: 10.1007/s004290050305. PMID: 10592061.
9. Keen, J.A. (1961), A study of the arterial variations in the limbs, with special reference to symmetry of vascular patterns. Am. J. Anat., 108: 245-261.
10. Bergman R. A. Compendium of human anatomic variation: text, atlas, and world literature. Urban & Schwarzenberg; 1988
11. Rodríguez-Niedenführ M, Burton G. J., Deu J, & Sañudo J. R. (2001). Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. Journal of anatomy, 199(Pt 4), 407–417.
12. Astik R, Dave U. Variations in branching pattern of the axillary artery: a study in 40 human cadavers. J. vasc. Bras. 2012; 11 (1): 12-17.
13. Baur, N., Stinnett, T. and Green, D.J. (2017), Variation in the Branching Pattern of the Axillary Artery. The FASEB Journal, 31: 896.7-896.7. Patnaik VVG, Kalse G, Singla RK. Bifurcation of axillary artery in its 3rd part- a case report. J Anat Soc India. 2001; 50:166–69.
14. Stone MA, Ihn HE, Gipsman AM, Iglesias B, Minneti M, Noorzad AS, Omid R. Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery. J Shoulder Elbow Surg. 2021 Jun;30(6):1266-1272. doi: 10.1016/j.jse.2020.09.018. Epub 2020 Oct 15. PMID: 33069906.
15. surgery. J Shoulder Elbow Surg. 2021 Jun;30(6):1266-1272. doi: 10.1016/j.jse.2020.09.018. Epub 2020 Oct 15. PMID: 33069906.
16. Ezatiyazdani D, Vardiyan R, Shahedi A. A case report of a variation from the third part of the axillary artery (Branching of the lateral thoracic artery from the third part of the axillary artery). JSSU. 2020; 27 (9):1859-1863.
17. Stone MA, Ihn HE, Gipsman AM, Minneti M, Noorzad MS, et al. Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery. JSES. 2021; 30 (6): 1266-1272.
| Files | ||
| Issue | Vol 61 No 11 (2023) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v61i11.16082 | |
| Keywords | ||
| Anatomic variation Axillary arteries Surgery Dissection Pectoralis muscles | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Bayat H, Movassaghi S, Akbari M. A Left Axillary Artery Variation: Case Report. Acta Med Iran. 2024;61(11):699-701.
