Rare case of the trunk of the inferior phrenic arteries originating from a common stem with a superior additional left renal artery from the abdominal aorta

Miclăuş, Graţian Dragoslav; Matusz, Petru; Loukas, Marios; Pleș, Horia

doi:10.1002/ca.22161

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…We assessed variations of the IPA and celiac axis in 1000 patients using CTA and found that the majority of IPA originated from the aorta in patients with a common IPA trunk, while RIPA and LIPA originated the most from the celiac axis in patients without a common IPA truncus. There have been a number of descriptive CTA and cadaveric studies related to IPA variations published in literature ( 4 5 11 13 14 15 ), however, the vast majority being carried out in patients with liver disease. This study is unique in its evaluation of the relationship between inferior phrenic artery origin and celiac axis variation.…”

Section: Discussionmentioning

confidence: 99%

Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography

Aslaner¹,

Pekçevik²,

Şahin³

et al. 2017

Korean J Radiol

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ObjectiveKnowing the origin of the inferior phrenic artery (IPA) is important prior to surgical interventions and interventional radiological procedures related to IPA. We aimed to identify variations in the origin of IPA and to investigate the relationship between the origin of IPA and celiac axis variations using computed tomography angiography (CTA).Materials and MethodsThe CTA images of 1000 patients (737 male and 263 female, the mean age 60, range 18–94 years) were reviewed in an analysis of IPA and celiac axis variations. The origin of IPA was divided into two groups, those originating as a common trunk and those originating independently without a truncus. The relationship between the origin of IPA and celiac axis variation was analyzed using Pearson's chi-square test.ResultsBoth IPAs originated from a common trunk in 295 (29.5%) patients. From which the majority of the common trunk originated from the aorta. Contrastingly, the inferior phrenic arteries originated from different origins in 705 (70.5%) patients. The majority of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) originated independently from the celiac axis. Variation in the celiac axis were detected in 110 (11%) patients. The origin of IPA was found to be significantly different in the presence of celiac axis variation.ConclusionThe majority of IPA originated from the aorta in patients with a common IPA trunk, while the majority of RIPA and LIPA originating from the celiac axis in patients without a common IPA trunk. Thus, the origin of IPA may widely differ in the presence of celiac axis variation.

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Section: Discussionmentioning

confidence: 99%

Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography

Aslaner¹,

Pekçevik²,

Şahin³

et al. 2017

Korean J Radiol

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“…In most cases, the LIPA and RIPA arise separately from the abdominal aorta above the origin of the celiac trunk [1,9,13]; however, they may demonstrate various types of origin [12,[14][15][16]. Information on the possible position of this artery can be valuable for understanding and treating the source of arterial bleeding at the esophagogastric junction [7,17].…”

Section: Introductionmentioning

confidence: 99%

Types of inferior phrenic arteries: a new point of view based on a cadaveric study

et al. 2021

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Background: The diaphragm is supplied by the superior and inferior phrenic arteries. This present study focusses on the latter. The inferior phrenic arteries (IPA) usually originate from the abdominal aorta. The two arteries have different origins, and knowledge of these is important when performing related surgical interventions and interventional radiological procedures. The aim of this study was to identify variations in the origin of the IPA and conduct relevant morphometric analyses. Materials and methods: The anatomical variations in the origins of the Left Inferior Phrenic Artery (LIPA) and the Right Inferior Phrenic Artery (RIPA) were examined in 48 cadavers fixed in 10% formalin solution. A dissection of the abdominal region of the cadavers was performed according to a pre-established protocol using traditional techniques. Morphometric measurements were then taken twice by two of the researchers. Result: In the cadavers, six types of origin were observed. In Type 1, the most common type, the RIPA and LIPA originate from the abdominal aorta (AA) (14 = 29.12%). In Type 2, the RIPA and the LIPA originate from the celiac trunk (CT) (12 = 24.96%). In Type 3, the RIPA and the LIPA originate from the left gastric artery (LGA), with no CT observed (3 = 6.24%). Type 4 has two subtypes: 4A, in which the LIPA originates from the abdominal aorta (AA) and the RIPA originates from the CT (9 = 18.72%) and 4B, in which the RIPA originates from the AA and the LIPA originates from the CT (6 = 12.48%). In Type 5, the LIPA originates from the AA and the RIPA originates from the AA (1 = 2.08%). Type 6 is characterized by the RIPA and LIPA forming a common trunk originating from the CT (3 = 6.24%). Conclusions: Our findings suggest the presence of six different types of LIPA and RIPA origin. The most common form is Type 1, characterized by an IPA originating from the abdominal aorta, while the second most common is Type 2, in which the IPA originates from the AA by a common trunk. The diversity of other types of origin is associated with the occurrence of celiac trunk variation (Type 3). No significant differences in RIPA diameter could be found, whereas LIPA diameter could vary significantly. No significant differences in RIPA and the LIPA diameter could be found according to sex.

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A comprehensive study of right and left inferior phrenic artery variations in 1000 patients with multidetector computed tomography angiography: an important study for HCC

Ekingen

Çetinçakmak

2021

Surg Radiol Anat

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Rare case of the trunk of the inferior phrenic arteries originating from a common stem with a superior additional left renal artery from the abdominal aorta

Cited by 5 publications

References 13 publications

Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography

Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography

Types of inferior phrenic arteries: a new point of view based on a cadaveric study

A comprehensive study of right and left inferior phrenic artery variations in 1000 patients with multidetector computed tomography angiography: an important study for HCC

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