Case series and a systematic review concerning the level of the aortic bifurcation

Panagouli, Eleni; Antonopoulos, Ioannis; Tsoucalas, Gregory; Chrysikos, Dimosthenis; Samolis, Αlexandros; Protogerou, Vassilis; Venieratos, Dionysios; Troupis, Theodoros

doi:10.5603/fm.a2020.0064

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…The aorta bifurcation in our study group appeared in the majority at L4 level, which is consistent with CT-based study of Datta et al [9] or anatomical results of Aschini et al who reported the similar results [4]. Cadaver study by Panagouli et al [21] also confirmed our findings-mean level of bifurcation was the lower third of the L4 vertebral body.…”

Section: Left Common Iliac Artery (%)supporting

confidence: 92%

Morphometric analysis of the lumbar vertebrae and intervertebral discs in relation to abdominal aorta: CT-based study

Kot¹,

Polak

Klepinowski

et al. 2021

Surg Radiol Anat

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Purpose Although lumbar discectomy is the most common procedure in spine surgery, reports about anatomical relations between discs and prevertebral vessels are limited. Aim of this research was to investigate morphometric of the lumbar region and the relations between intervertebral discs (IVDs) and abdominal aorta. Methods 557 abdominal computed tomography scans were assessed. For each spinal column level from Th12/L1 down to L4/L5, we investigated: intervertebral disc’s and vertebra’s height, width, length, and distance from aorta or common iliac artery (CIA). Those arteries were also measured in two dimensions and classified based on location. Results 54.58% of patients were male. There was a significant difference in arterial-disc distances (ADDs) between genders at the levels: L1/L2 (1.32 ± 1.97 vs. 0.96 ± 1.78 mm; p = 0.0194), L2/L3 (1.97 ± 2.16 vs. 1.15 ± 2.01 mm; p < 0.0001), L3/L4 (2.54 ± 2.78 vs. 1.71 ± 2.61 mm; p = 0.0012), also for both CIAs (left CIA 3.64 ± 3.63 vs. 2.6 ± 3.06 mm; p = 0.0004 and right CIA: 7.96 ± 5.06 vs. 5.8 ± 4.57 mm; p < 0.001)—those ADDs were higher in men at all levels. The length and width of IVD increased alongside with disc level with the maximum at L4/L5. Conclusion Bifurcations of the aorta in most cases occurred at the L4 level. Collected data suggest that at the highest lumbar levels, there is a greater possibility to cause injury of the aorta due to its close anatomical relationship with discs. Females have limited, in comparison to males, ADD at L1/L2, L2/L3, and L3/L4 levels what should be taken into consideration during preoperative planning of surgical intervention.

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Section: Left Common Iliac Artery (%)supporting

confidence: 92%

Morphometric analysis of the lumbar vertebrae and intervertebral discs in relation to abdominal aorta: CT-based study

Kot¹,

Polak

Klepinowski

et al. 2021

Surg Radiol Anat

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“…In this study, we aimed to provide a short overview of the knowledge concerning the variants of CT reported in cadaveric and/or diagnostic imaging studies. According to our findings, cases of the absence of the CT are rare, and in these cases the common gastric, splenic and hepatic arteries originate independently directly from the abdominal aorta (7,12,31). This variation occurred because of the complete regression of the anastomoses of the primitive arteries.…”

Section: Discussionmentioning

confidence: 69%

Anatomical Variations in the Celiac Trunk: A Short Review

Vougadiotis,

Karampelias,

Chrysikos

et al. 2023

ama

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Objective. The objective of the current study was the examination of possible variants of the celiac trunk. Methods. An advanced review of the literature search was undertaken by means of the PubMed database and Google Scholar, searching for new studies published up to October 2022. Additional articles provided useful information in relation to the aim of this review. Hence, articles that met the inclusion criteria were included in this review and the collected data were organized into a table. Results. The search of the literature retrieved 10 articles that referred to the anatomical variations of the celiac trunk. According to the available literature, the most common anatomical variations are: hepatosplenic trunk where the left gastric artery originates from the abdominal aorta, hepatosplenic trunk, where the left gastric artery originates from the splenic artery, and hepatogastric trunk and splenic artery origin from the superior mesenteric artery. Many other anatomical variations of the celiac trunk may exist, such as tetrafurcation, pentafurcation and hexafurcation, that refer to the division of the celiac trunk into four, five or six branches, respectively, and should be reported as they can affect surgical approaches and the development of the appropriate treatment strategy in patients. Conclusion. Every visceral surgeon, interventional radiologist and abdominal imager should be familiar with these variants.

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Variations in the bifurcation level of the abdominal aorta, formation level of the inferior vena cava, and insertion level of the left renal vein into the inferior vena cava and their clinical importance in laparoscopic surgery

Khader

Al-Hyasat

Salameh

et al. 2022

Laparoscopic, Endoscopic and Robotic Surgery

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Case series and a systematic review concerning the level of the aortic bifurcation

Cited by 3 publications

References 22 publications

Morphometric analysis of the lumbar vertebrae and intervertebral discs in relation to abdominal aorta: CT-based study

Morphometric analysis of the lumbar vertebrae and intervertebral discs in relation to abdominal aorta: CT-based study

Anatomical Variations in the Celiac Trunk: A Short Review

Variations in the bifurcation level of the abdominal aorta, formation level of the inferior vena cava, and insertion level of the left renal vein into the inferior vena cava and their clinical importance in laparoscopic surgery

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