Origin of a common trunk for the inferior phrenic arteries from the right renal artery: a new anatomic vascular variant with clinical implications

Topaz, On; Topaz, Allyne; Polkampally, Pritam R.; Damiano, Thomas R.; King, Christopher A.

doi:10.1016/j.carrev.2009.09.002

Cited by 14 publications

(14 citation statements)

References 16 publications

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“…The frequency of an independent origin of the 2 arteries on each side of the celiac artery is 2.25% 29) . The 2 arteries can also arise from the aorta or celiac artery as a common trunk 30,31) . The reported incidences of the right inferior phrenic originating from the aorta are 57.90% 32) and 38.00% 33) and from the celiac artery are 42.10% 32) and 40.00% 33) .…”

Section: Discussionmentioning

confidence: 99%

Origin of the Celiac and Superior Mesenteric Arteries in a Common Trunk - Description of a Rare Vessel Variation of the Celiacomesenteric Trunk with a Literature Review

Jing

Nagasawa

Nakano

et al. 2014

Okajimas Folia Anat. Jpn.

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Summary: A variation artery was observed in a Japanese cadaver. The celiac and superior mesenteric arteries arose from a common trunk (also referred to as the celiacomesenteric trunk), but not from the abdominal aorta, respectively. From the common trunk, the common hepatic artery was distributed in the right part of the liver, and the left hepatic artery arose from the left gastric artery, which also arose from the common trunk. The left inferior phrenic artery arose from the common trunk, but the right inferior phrenic artery arose from the right middle suprarenal artery. This information regarding the branch pattern in this variation artery is useful for clinical examination and treatment.

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Section: Discussionmentioning

confidence: 99%

Origin of the Celiac and Superior Mesenteric Arteries in a Common Trunk - Description of a Rare Vessel Variation of the Celiacomesenteric Trunk with a Literature Review

Jing

Nagasawa

Nakano

et al. 2014

Okajimas Folia Anat. Jpn.

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“…A dorsal pancreatic artery has been described as important branch of coeliac trunk by previous authors [6]. Inferior phrenic arteries are arising as common trunk from renal artery along with variation or absence of one of three suprarenal arteries has been reported in pertinent literature [7].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Branch of Celiac Trunk Feeding Suprarenal Gland - A Case Report

Sarkar

Mukherjee

Roy

et al. 2014

JCDR

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Case RepoRtDuring routine dissection of undergraduate abdomen part for the session 2013-14; in a 54-years adult male cadaver, it has been found that the celiac trunk instead of its normal three branches, provided another branch as left inferior phrenic artery [ The usual left middle suprarenal artery was found absent .On the right side all the above mentioned branches are as usual. Inferior suprarenal artery has been found as a branch of renal artery and following the normal course on both sides. DisCussionFirst ventral branch of abdominal aorta is coeliac trunk and has a character of its length (1-3 cm) which is lesser than its breath. It has three branches i.e. left gastric artery, Hepatic artery and splenic artery which is supplying derivatives of fore gut [1]. Elongated coeliac trunk with variation of its branching pattern has been noted in pertinent literature [2]. Suprarenal glands are highly vascular and received blood flow of about 5 ml/min. The required demand is supplied by three arteries namely superior, middle and inferior suprarenal arteries. Superior suprarenal artery arises from inferior phrenic artery. Middle suprarenal artery arises from lateral aspect of abdominal aorta at the level of superior mesenteric artery Inferior suprarenal arises from renal artery [3].In our case the left inferior phrenic artery originated from the coeliac trunk and has been noticed as first branch of coeliac trunk. Then it divided into two branches. Usual three branches of coeliac trunk followed normal branching pattern, i.e. Left gastric artery followed by common hepatic artery and splenic artery as mentioned in literature [4]. There, it has also been reported for a small phrenic branch as fourth branch of coeliac trunk.Inferior phrenic artery of one side or both phrenic arteries as common stem arising from coeliac trunk has been reported earlier [5]. A dorsal pancreatic artery has been described as important branch of coeliac trunk by previous authors [6]. Inferior phrenic arteries are arising as common trunk from renal artery along with variation or absence of one of three suprarenal arteries has been reported in pertinent literature [7]. Dutta S et al., has studied a total number of 68 cadavers and reported that in 18% of cases left superior suprarenal artery as a branch of splenic artery or directly from abdominal aorta [7]. He also reported absence of middle suprarenal artery on right side in 29% of cases. A common trunk arising from abdominal aorta at the level of renal artery and trifurcate to supply the right suprarenal gland has been reported by Pai V [8].Anatomy Section aBstRaCt During routine dissection, variation in branching pattern of coeliac trunk has been observed in adult 54-year-old male cadaver. Instead of normal three branches an additional branch i.e., Left inferior phrenic artery originated from it as fourth branch. Then it divided into two branches, one directly supplied the diaphragm and other branch divided into three sub-branches. First and second branch entered into the left suprarenal glan...

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“…It was seen to be arising from right renal artery as soon as it arose from abdominal aorta. Topaz et al have described finding right and left inferior phrenic arteries originating from a common trunk which in turn originated from right re-nal artery [7].…”

Section: Case Reportmentioning

confidence: 99%

“…They may arise either from the front of the aorta immediately above the celiac artery or from a common trunk with the celiac artery. In 8% of the cases, apart from the usual origin, other sources of origin of inferior phrenic arteries may be renal, supra renal, hepatic, left gastric or superior mesenteric arteries [5,6,7]. Because the inferior phrenic often supplies most or all of the blood to the suprarenal gland it must be identified and saved when surgery is performed on the renal pedicle to avoid complications.…”

Section: Introductionmentioning

confidence: 99%

An Unique Variation of Right Renal Artery: A Case Report

Nagpal¹,

Chauhan²,

Kalra³

2017

IJAR

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With the advent of laparoscopic renal surgeries and donor nephrectomies, it becomes mandatory for the surgeons to understand the abnormality or variations in the renal vasculature. During routine dissection of the abdominal region for undergraduate medical teaching we observed an unusual variation in the vascular supply of the kidney on the right side of an elderly female cadaver. Main renal artery was arising from abdominal aorta at the level of lower border of L1 and immediately gave off a branch namely right inferior phrenic artery. Approximately 3-4 cm beyond giving this branch main renal artery gave another branch to superior pole of right kidney. The inferior pole of the right kidney was being supplied by another branch which was directly arising from aorta just distal to the first renal artery. No variations were observed in the branching pattern of the left renal artery. This case report discusses the variation of right renal artery observed, which has never been documented. Possible embryological explanation of the variation observed and its clinical implications have been discussed in this article.

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Origin of a common trunk for the inferior phrenic arteries from the right renal artery: a new anatomic vascular variant with clinical implications

Cited by 14 publications

References 16 publications

Origin of the Celiac and Superior Mesenteric Arteries in a Common Trunk - Description of a Rare Vessel Variation of the Celiacomesenteric Trunk with a Literature Review

Origin of the Celiac and Superior Mesenteric Arteries in a Common Trunk - Description of a Rare Vessel Variation of the Celiacomesenteric Trunk with a Literature Review

An Unusual Branch of Celiac Trunk Feeding Suprarenal Gland - A Case Report

An Unique Variation of Right Renal Artery: A Case Report

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