Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000100003
Jornal Vascular Brasileiro
Original Article

Variations in branching pattern of the axillary artery: a study in 40 human cadavers

Rajesh Astik; Urvi Dave

http://dx.doi.org/10.1590/S1677-54492012000100003 J Vasc Bras, vol.11, n1, p.12-17, 2012
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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. 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.

Keywords

angiography, axillary artery, cardiovascular surgical procedures, coronary artery bypass, median nerve

References

Standring S. Pectoral girdle, shoulder region and axilla. Gray's Anatomy. 2005:842-5.

Hollinshead WH. Anatomy for surgeons in general surgery of the upper limb: The back and limbs. 1958;3:290-300.

Cavdar S, Zeybek A, Bayramicli M. Rare variation of the axillary artery. Clin Anat. 2000;13:66-8.

Romanes GJ. Cunningham's manual of practical anatomy. 1992;Volume 1:29-31.

DeGaris CF, Swartley WB. The axillary artery in white and Negro stocks. Am J Anat. 1928;41:353-97.

Huelke DF. Variation in the origins of the branches of the axillary artery. Anat Rec.. 1959;135:33-41.

Pellegrini A. Le arteriae subclavia e axillaris nell'uomo studiate col metodo statistico. Arch Ital Anat Embryol. 1906;5:205-466.

Trotter M, Henderson JL, Gass . The origins of branches of the axillary artery in whites and in American Negroes. Anat Rec. 1930;46:133-7.

P'An MT. The origin of branches of the axillary arteries in Chinese. Am J Phys Anthropol. 1940;27:269-79.

Pandey SK, Shukla VK. Anatomical variation in origin and course of the thoracoacromial trunk and its branches. Nepal Med Coll J.. 2004;6:88-91.

Bergman RA, Thompson SA, Afifi AK, Saadeh FA. Compendium of human anatomic variations: Urban and Schwarzenberg, Baltimore-Munich. 1988:70-3.

Saeed M, Rufai AA, Elsayed SE, Sadiq MS. Variations in the subclavian-axillary arterial system. Saudi Med J.. 2002;22:206-12.

Ramesh RT, Shetty P, Suresh R. Abnormal branching pattern of the axillary artery and its clinical significance. Int J Morphol. 2008;26:389-92.

Vijaya PS, Venkata RV, Satheesha N, Mohandas R, Sreenivasa RB, Narendra P. A rare variation in the branching pattern of the axillary artery. Indian J Plast Surg. 2006;39:222-3.

Bhargava I. Anomalous branching of axillary artery. J Anat Soc India. 1956;5:78-80.

Daimi SR, Siddiqui AU, Wabale RN. Variations in the branching pattern of axillary artery with high origin of radial artery. Int J Anat Var. 2010;3:76-7.

Hamilton WJ, Mossman HW. Cardiovascular system. Human Embryology. 1972:271-90.

Wollard HH. The development of principal arterial stems in the forelimb of the pig. Contrib Embryol. 1922;14:139-54.

Sanioglu S, Sokullu O, Ozay B. Safety of unilateral antegrade cerebral perfusion at 22 degrees C systemic hypothermia. Heart Surg Forum. 2008;11:184-7.

Charitou A, Athanasiou T, Morgan IS, Del SR. Use of Cough Lok can predispose to axillary artery thrombosis after a Robicsek procedure. Interact Cardiovasc Thorac Surg.. 2003;2:68-9.

Karamursel S, Bagdatl D, Demir Z, Tuccar E, Celebioglu S. Use of medial arm skin as a free flap. Plast Reconstr Surg. 2005;115:2025-31.

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