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旋肱后动脉和肩胛下动脉异常起源:病例报告及文献复习

Abnormal origin of posterior circumflex humeral artery and subscapular artery: case report and review of the literature.

作者信息

Singh Rajani

机构信息

All India Institute of Medical Siences Rishikesh - AIIMS, Department of Anatomy, Rishikesh, Uttrakhand, India.

出版信息

J Vasc Bras. 2017 Jul-Sep;16(3):248-251. doi: 10.1590/1677-5449.001917.

Abstract

The subscapular, anterior circumflex, and posterior circumflex arteries arise from the third part of the axillary artery. During dissection of the right upper limb of the cadaver of a 70-year-old male, a common trunk was observed arising from the third part of the axillary artery which, after traveling for 0.5 cm, bifurcated into subscapular and posterior circumflex humeral arteries. The common trunk was crossed anteriorly by the radial nerve. The medial nerve was formed by medial and lateral roots on the medial side of the third part of the axillary artery, remaining medial to the brachial artery up to the cubital fossa and then following its usual course thereafter. Awareness of the vascular variations observed in the present case is important when conducting surgical procedures in the axilla, for radiologists interpreting angiographs, and for anatomy-pathologists studying rare findings.

摘要

肩胛下动脉、旋肱前动脉和旋肱后动脉发自腋动脉第三段。在解剖一名70岁男性尸体的右上肢时,观察到一条总干发自腋动脉第三段,走行0.5厘米后,分为肩胛下动脉和旋肱后动脉。总干在桡神经前方交叉。内侧神经由腋动脉第三段内侧的内侧根和外侧根形成,在肱动脉内侧一直延续到肘窝,然后沿其通常走行。了解本病例中观察到的血管变异,对于在腋窝进行外科手术、解读血管造影的放射科医生以及研究罕见发现的解剖病理学家来说都很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35d/5868943/8a9bc752e0a1/jvb-16-03-248-g01.jpg

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