Autonomic cardiac nerves: literature review

Kuder, T; Nowak, E.

doi:10.5603/fm.2015.0003

Cited by 7 publications

(15 citation statements)

References 67 publications

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“…Nowadays, there are many improvements and developments in abdomen surgical techniques: upper abdominal videolaparoscopic surgeries, liver transplantation and radiological procedures ( 6 , 7 ). All of invasive procedures in the abdomen need for professional and wide knowledge of the anatomy of the CAT, HAS and their main variations.…”

Section: Discussionmentioning

confidence: 99%

“…Arterial vascularisation of the gastrointestinal tract is provided by anterior branches at three different levels of the abdominal aorta (coeliac trunk, superior and inferior mesenteric arteries). Haller (1756) was described CAT as the trifurcation which originates on the LGA, SA and CHA ( 6 , 11 ). Since that observation many variations and anomalous were described ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…Tandler (1904) gave an embryological explanation for anatomical variations of CAT ( 11 ) where explained that the ventral branches develop initially from the abdominal aorta as paired vessels, which form four roots connected by ventral longitudinal anastomosis. LGA is usually formed by the first root, the second root gives the beginning for the SA and the third root creates CHA; SMA develops from the last root, which migrates caudally with the gut ( 6 , 11 ). Quoting Morita, the disappearance of primitive ventral splanchnic arteries and longitudinal anastomosis is the reason for numerous anomalous of the CAT, as it was schematically presented in Fig.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature classical course of CAT is reported with a frequency of 72–90% ( 6 , 12 ). According to the Uflacker's classification ( 6 , 13 ) the most commonly observed CAT variations are: Hepatosplenic trunk (3% of cases), splenogastric trunk (4%), hepatogastric trunk (1%), hepatomesenteric trunk (<1%), the absence of CAT is the most rare (0,1-4,0%) ( 6 , 10 ). Among vessel anomalities ‘accessory’ and ‘replaced’ vassels can also be qualified, which examples are replaced right hepatic artery (11–21% cases) and replaced left hepatic artery (3,8–10%) ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

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Awareness of hepatic arterial variants is required in surgical oncology decision making strategy: Case report and review of literature

et al. 2018

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Surgery for the treatment of pancreatic cancer remains the gold standard, however, the identification of the vascular supply of the pancreas and the nearby organs remains a crucial difficulties in a curative resection. During pancreatic head resection for carcinoma dissection of regional arterial vasculature is mandatory. Normal coeliac and hepatic arterial anatomy occurs in ~50–70% of patients and multiple variations have been described. Knowledge of multiple arterial anomalies is essential in hepato-pancreatico-billary surgery to avoid unnecessary complications. The present study presents coeliac trunk and common hepatic artery (CHA) anomalies along with their clinical importance, as reviewed according to the available literature. Patients diagnosed with cancer of the pancreatic head were hospitalized for staging and planning of radical surgical therapy. Computed tomography (CT) revealed a large tumour mass in the head of the pancreas and CHA, which branched directly from the superior mesenteric artery. A three-dimensional CT reconstruction revealed a demonstrative vascular anomaly, which was confirmed during an operation. Despite the anomalous origin of the CHA, pylorus preserving pancreatoduodenectomy and regional lymph node dissection without intraoperative complications was performed in each case. The patient's postoperative clinical course was uneventful and adjuvant chemotherapy could be administered without delay. In the multidisciplinary treatment of pancreatic carcinoma the surgeon and radiologist must be aware of the aberrant anatomy in order to avoid potential complications. As CT scans used for the preoperative staging are of diagnostic value for vascular anomaly, it is required for appropriate surgical decision making.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Awareness of hepatic arterial variants is required in surgical oncology decision making strategy: Case report and review of literature

et al. 2018

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“…Sympathetic cardiac nerves originate from stellate, superior, middle cervical and thoracic ganglia [8]; postganglionic sympathetic neurons project efferent axons to the heart [9]. Parasympathetic nerves develop from the cardiac component of the cranial neural crest; preganglionic neurons access to the heart occurs via the vagus nerves [10,11].…”

Section: Cardiac Nervous Systemmentioning

confidence: 99%

Autonomic Nervous System and Neurocardiac Physiopathology

Kingma¹,

Simard²,

Rouleau³

2018

Autonomic Nervous System

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The autonomic nervous system regulates multiple physiological functions; how distinct neurons in peripheral autonomic and intrathoracic ganglia communicate remains to be established. Increasing focus is being paid to functionality of the neurocardiac axis and crosstalk between the intrinsic nervous system and diverse organ systems. Current findings indicate that progression of cardiovascular disease comprises peripheral and central aspects of the cardiac nervous system hierarchy. Indeed, autonomic neuronal dysfunction is known to participate in arrhythmogenesis and sudden cardiac death; diverse interventions (pharmacological, non-pharmacological) that affect neuronal remodeling in the heart following injury caused by cardiovascular disease (congestive heart failure, etc.) or acute myocardial infarction are being investigated. Herein we examine recent findings from clinical and animal studies on the role of the intrinsic cardiac nervous system on regulation of myocardial perfusion and the consequences of cardiac injury. We also discuss different interventions that target the autonomic nervous system, stimulate neuronal remodeling and adaptation, and thereby optimize patient outcomes.

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Proprioceptors of the human pericardium

Piermaier,

Caspers,

Herold

et al. 2024

Basic Res Cardiol

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In the human organism, all functions are regulated and, therefore, require a feedback mechanism. This control involves a perception of the spatial tensile state of cardiac tissues. The presence and distribution of respective proprioceptive corpuscles have not been considered so far. Therefore, a comprehensive study of the entire human fibrous pericardium was conducted to describe the presence of proprioceptors, their density, and distribution patterns. Eight human pericardial specimens gained from our body donation program were used to create a three-dimensional map of proprioceptors in the pericardium based on their histological and immunohistochemical identification. The 3D map was generated as a volume-rendered 3D model based on magnetic resonance imaging of the pericardium, to which all identified receptors were mapped. To discover a systematic pattern in receptor distribution, statistical cluster analysis was conducted using the Scikit-learn library in Python. Ruffini-like corpuscles (RLCs) were found in all pericardia and assigned to three histological receptor localizations depending on the fibrous pericardium’s layering, with no other corpuscular proprioceptors identified. Cluster analysis revealed that RLCs exhibit a specific topographical arrangement. The highest receptor concentrations occur at the ventricular bulges, where their size reaches its maximum in terms of diameter, and at the perivascular pericardial turn-up. The findings suggest that the pericardium is subject to proprioceptive control. RLCs record lateral shearing between the pericardial sublayers, and their distribution pattern enables the detection of distinct dilatation of the heart. Therefore, the pericardium might have an undiscovered function as a sensor with the RLCs as its anatomical correlate.

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Autonomic cardiac nerves: literature review

Cited by 7 publications

References 67 publications

Awareness of hepatic arterial variants is required in surgical oncology decision making strategy: Case report and review of literature

Awareness of hepatic arterial variants is required in surgical oncology decision making strategy: Case report and review of literature

Autonomic Nervous System and Neurocardiac Physiopathology

Proprioceptors of the human pericardium

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