scholarly journals Anatomical Variations of Lumbar Arteries and Their Clinical Implications: A Cadaveric Study

ISRN Anatomy ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Aranjan Lionel Karunanayake ◽  
Arunasalam Pathmeswaran

Lumbar arteries arise from the abdominal aorta. Some abdominal and spinal surgeries can damage these arteries, and that can lead to serious consequences. This study aimed at studying the types and frequencies of variations of lumbar vasculature. We dissected both sides of 109 adult human cadavers and studied the variations of lumbar vasculature. Age range was 43–90 years. Fifty-seven percent were males and 43% were females. The number of lumbar arteries arising from either side of the abdominal aorta varied between 3 and 5 pairs. The lumbar arteries arose from a common single stem in 12% of the cadavers. The third and fourth pairs of lumbar arteries arose from a common single stem in 3% and 11% of cadavers, respectively, and the first and second pairs of lumbar arteries arose from a common single stem in 1% and 2% of cadavers, respectively. The first and second lumbar arteries on the right side traveled anterior to the right crus of the diaphragm in 7% and 8% of cadavers, respectively. There were several variations with regard to the number, origin from the abdominal aorta, and pathway of lumbar arteries from what is described in the literature.

2017 ◽  
Vol 5 (3.1) ◽  
pp. 4073-4077 ◽  
Author(s):  
Janardhan Rao M ◽  
◽  
Devadas P ◽  
Yesender M ◽  
Shiny Vinila B H ◽  
...  

2021 ◽  
pp. 20-22
Author(s):  
Sony Jhansi Priya ◽  
Sangeetha A ◽  
M. Sai Krishna

Coronary artery variations are one of the commonest variations observed during clinical procedures. Normally, there are two main coronary arteries, the right coronary artery (RCA), left coronary artery (LCA).Left coronary artery gives two important branches left circumex artery (LCX) and left anterior descending (LAD) arteries. Knowledge about the coronary vessels and its variations are essential to clinicians to prevent untoward injury of vessels during any procedures. To study the morphology and variations of coronar Aim: y arteries by dissection. Materials and Methods: The present study was a cadaveric study which was conducted on 50 hearts obtained from adult human cadavers. Coronary arteries were dissected to see the origin, course and variations. The data was entered in Microsoft excel sheet and expressed in percentage. The Right Results: coronary artery branched out from the right aortic sinus and had an average diameter of 3.5mm. The left coronary artery arouse from left aortic sinus and had an average diameter of 4mm. LMCA divided into two branches in 60 percent, three branches in 30 percent and four branches in 06 percent of the hearts and direct branches from left aortic sinuus in 4 percent hearts.Based on the origin of Posterior descending or interventricular artery, Right dominance was observed in 68 percent, left dominance in 26 percent, and equal dominance in 06 percent of the hearts. Conclusion: Knowledge about the variations of coronary vessels is a prerequisite for clinicians to perform interventions of coronary vessels.


Author(s):  
Abdul Haseeb Wani ◽  
Yassar Shiekh ◽  
Arshed Hussain Parry ◽  
Zahid Qayoom

Background: The sphenoid sinus shows multitude of variations in pneumatization, size and pattern of septations leading to differences in its segmentation. Pre-operative knowledge of their attachment especially to posterolateral bony walls covering vital structures is of utmost importance for a safe trans-sphenoidal approach for various surgical procedures involving skull base. Non-contrast computed tomography (NCCT) with its ability to provide multiplanar reformations (MPR) with sharp algorithms is now a reference standard for visualization of these intra-sphenoid sinus septations preoperatively. The objective of this study was to determine the number and attachment of intra-sphenoid sinus septations in a Kashmiri population sample.Methods: NCCT head images of 591 patients in the age range of 16 to 75 years were analyzed retrospectively. Individuals with age less than 16 years, previous surgery involving skull base/sphenoid sinus, trauma causing hem sinus/fractures around skull base or having space occupying lesions around skull base/sphenoid sinus were excluded from the study. On the CT workstation multi-planar coronal, sagittal and axial reconstructions were performed and subsequently examined.Results: The age range was 16 to 75 years with mean age of 43.56 years of which 453 (76.6%) were males and 138 (23.4%) were females. Single intra-sphenoid septation was the most common anatomic variant in present study (79.7%) being complete in 71.7% and partial or incomplete in 8% of the examined subjects. Double septa were found in 11% inpresent study and more than 2 septae in 3.4%. After sellar attachment (51%) the next most common site of attachment was to the carotid canal (29.5%) (23% to left ICA and 6.5% to the right ICA).Conclusions: Intricate knowledge about sphenoid sinus, its pneumatization and anatomical variations in intra-sphenoid sinus septations and its relationship with the surrounding vital structures is of utmost importance before performing any endoscopic/open surgery involving skull base via trans-sphenoidal approach. The present study shows that a significant percentage of septal attachment to the carotid canal makes main sphenoidal septum as not so reliable landmark for endoscopic procedures as used to be in the pre-imaging era. Thus, preoperative CT is mandatory to avoid injuries to para-sellar neurovascular and glandular structures.


2019 ◽  
Vol 36 (01) ◽  
pp. 051-054
Author(s):  
Caroline Dussin ◽  
Lucas Moyses ◽  
Sávio Siqueira

AbstractMany authors have reported and classified several anatomical variations between the musculocutaneous (Mc) and median (Me) nerves, regarding their origin, number, and proximity with the coracobrachialis muscle. There also are, in the scientific community, records classifying the origin of supernumerary heads of the biceps brachii muscle. However, the occurrence of both aforementioned variations in the same arm is very uncommon. During a routine dissection of the right upper limb of a male cadaver, a third head of the biceps brachii was found originating from the fibers of the brachialis muscle, as well as a communicating branch between the Mc and the Me nerves, in the same limb. The objective of the present case report is to describe these multiple variations found, relating them and discussing their relevant clinical implications.


2013 ◽  
Vol 02 (01) ◽  
pp. 22-25
Author(s):  
Arthi Ganapathy ◽  
Sadeesh T. ◽  
Sudha Rao

Abstract Background and Aims: Occipital emissary veins are important sources of bleeding during skull base surgeries like suboccipital craniotomies. To prevent such complications it is important to know the topography and incidence of occipital emissary foramina hence the present study aims to find the incidence and location of occipital emissary foramina in adult human skulls of Indian origin. Materials and methods: One hundred human skulls from the collection of Department of Anatomy Mahatma Gandhi Medical College and Research Institute, Pondicherry and other medical colleges in and around Pondicherry were evaluated. The bones were examined for incidence of occipital emissary foramina. Number of emissary foramina and their distance from the margin of foramen magnum were noted. The patency of the foramina was confirmed by passing a probe through it. Results: Out of the 100 human adult skull bones examined 14(14%) of them showed patent occipital formina. Six of these foramina were present on the left side and six on the right side of midline. Double occipital foramina were seen in two skulls (2%). All the foramina were in proximity to foramen magnum than to the external occipital protuberance. The average distance of the occipital emissary foramina from the margin of foramen magnum was 1.13cm on the left side and 1.10cm on the right side. Conclusion: The present study has shown that the occipital emissary foramina occur at a higher frequency than what has been described earlier in literature.


2018 ◽  
Vol 6 (2.3) ◽  
pp. 5371-5378
Author(s):  
Shoma Alban ◽  
◽  
Sujitha Jacinth ◽  
Jaipaul Y ◽  
Muniappan V ◽  
...  

Author(s):  
Najma Mobin ◽  
H Basavanagowdappa ◽  
B Madhu

Introduction: The knowledge of anatomical variations of the coronary ostia is an important factor in the study of Coronary Heart Disease (CHD). With the adaptation of sedentary life style and increasing stress, CHD has become the major cause of death in many countries. Aim: To describe the location, size and shape of the coronary ostia in cadaveric hearts. Materials and Methods: Descriptive cross-sectional study was carried out in 110 adult human hearts, 90 males and 20 females with a mean age of 66 years, which were collected from the mortuary from March 2017 to March 2019. The aorta was dissected and the aortic sinuses were opened, the number, location, size, shape and anomalous presence of accessory coronary ostia was noted and the measurements were taken using vernier calipers. Results: The Right Coronary Artery (RCA) was seen taking origin from the anterior aortic sinus and the Left Coronary Artery (LCA) from the left posterior aortic sinus in all the 110 hearts. The mean diameter of the Left Coronary Ostia (LCO) was 3.66±0.40 mm and found to be greater than the Right Coronary Ostia (RCO) 3.43±0.38 mm. Variations in the location and shape of the RCO and LCO were noted, and presence of single accessory coronary ostia was observed in five cases. Presence of multiple accessory coronary ostia was observed in only one case and its presence was found to be very rare. Conclusion: The diameter of the LCO was found to be greater than the RCO and the shape was circular in most of the coronary ostia. The majority of the coronary ostia were found to be located within the aortic sinuses below the Sinutubular Junction (STJ). Anatomical knowledge of the coronary ostia in the ascending aorta is very important during cardiac interventions around the aortic root.


2013 ◽  
Vol 02 (01) ◽  
pp. 026-030
Author(s):  
Vishal Manoharrao Salve ◽  
Chandaka Swathi Poornima ◽  
Mandava Prabhakar Rao

Abstract Background and aims : The biceps brachii is a large fusiform muscle in the flexor compartment of the arm. In terms of the number and morphology of its head, the biceps brachii muscle is one of the most variable muscles in human body. The present study explores the importance of such variations. Materials and methods: The upper limbs of embalmed human cadavers (fixed in 10 % formaldehyde solution) were included in present study. Total 36 (72 upper limbs) cadavers were studied by dissection. Results: Among the 72 superior extremities studied, six (8.33%) arms were found to have a three- headed biceps brachii muscles. The variation was present in the left arm of four males and one female. The variation was present in the right arm of one male. Conclusion : Presence of third head of biceps brachii muscle might increase its kinematics. Supernumerary heads of biceps brachii muscle may become significant in pre-operative procedure and during surgery of upper limb.


Sign in / Sign up

Export Citation Format

Share Document