Subclavian origin of bronchial arteries

OʼRahilly, Ronan; Debson, H.; King, Tiffany

doi:10.1002/ar.1091080205

Cited by 18 publications

(9 citation statements)

References 3 publications

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“…O'Rahilly, Debson, and King (1950) could only find 12 cases to add to their one, though in a series of 150 necropsies, Cauldwell et al (1948) found an incidence of 2 per cent. In association with pulmonary atresia, 3 further cases have been recorded (Allanby et al, 1950;Campbell and Gardner, 1950;Lamers and Bruins, 1958).…”

Section: Discussionmentioning

confidence: 96%

“…The bronchial artery from the right subclavian to the right upper and middle lobes had an origin, course, and distribution similar to that described by Cauldwell et al (1948), though no middle lobe branch was described in their case. O'Rahilly et al (1950) described a bronchial artery arising from the left subclavian and supplying the lower lobes of both lungs, passing anterior to the carina and entering the right lower lobe on the antero-medial aspect of the bronchus. The course of the vessel arising from the left subclavian in the present case is similar to this, apart from the absence of a branch to the left lung.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary atresia with bronchial arteries arising from the subclavian arteries.

Tynan¹,

Gleeson²

1966

Heart

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Pulmonary atresia may occur with a normal or an abnormal aortic root; in either case the presence of a collateral circulation to the lungs is obligatory for survival. This may be via a patent ductus arteriosus, if the main branches of the pulmonary artery are developed, by enlarged bronchial arteries anastomosing with the pulmonary artery branches or supplying the lungs direct, or by means of some other systemic pulmonary anastomosis from the aorta or great vessels.Case Report J.C. was the second-born child, the previous child being alive and well. The pregnancy was complicated by mild upper respiratory infections at 5 and at 30 weeks. No drugs were taken during the pregnancy. The baby was born at term, weighing 7 lb. (3175 g.); she appeared well at birth.A cardiac murmur was heard at 1 week of age. At the age of 3 weeks she had an illness characterized by a hemorrhage from the umbilicus, anorexia, and dyspnoea; this resolved spontaneously after a few days. At 5 weeks she began to have cyanotic attacks, and during the most severe of these she became apnceic.At 8 weeks she was seen at the Westminster Hospital. She had central cyanosis, but was well developed. Only one component of the second heart sound was heard.There was a loud pansystolic murmur over the whole pracordium, maximal in the second, third, and fourth intercostal spaces at the left sternal border. A continuous systolic and diastolic murmur, suggesting a patent ductus arteriosus, was heard just below the left clavicle. A chest radiograph showed right-sided cardiac enlargement, pulmonary oligaemia, and appearances suggesting bronchial artery circulation to the lungs. The electrocardiogram was normal.At 12 weeks she was admitted to the Westminster Hospital for investigation. In addition to the physical signs noted previously the continuous murmur was now audible posteriorly, in both mid and lower zones, maximal on the right.Cardiac catheterization revealed that both ventricles emptied into the aorta; no pulmonary artery was demon-573 strated. Two-plane selective angiocardiography was carried out with injection into the anterior ventricle of 8 ml. of 65 per cent Hypaque by means of a hand-pump (Westminster type). Films were taken at 8 frames per second for 2 seconds, the rest at 4 frames per second ( Fig. 1, 2, and 3).The right ventricle was thick walled with well-marked trabeculation. No pulmonary artery was demonstrated. Most of the contrast medium passed into a large aorta which ran upwards and to the left. The left ventricle was small, and there was a high ventricular septal defect. The coronaries and the great vessels arising from the arch appeared normal, but a large vessel was seen running downwards medially from the first part of each subclavian to behind the cardiac shadow. The peripheral pulmonary vessels were small and suggestive of enlarged bronchial arteries.At 14 weeks of age a thoracotomy was performed by Mr. C. E. Drew with the object of ascertaining whether the pulmonary artery, if present, could be dilated. At operation there was found...

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Pulmonary atresia with bronchial arteries arising from the subclavian arteries.

Tynan¹,

Gleeson²

1966

Heart

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“…11 ' 12 In normal adults, bronchial arteries, usually two or three in number, arise mainly from the aorta, but also from the intercostal arteries. Of note, normal bronchial arteries can also originate from brachiocephalic or subclavian arteries or their branches, 13 and rarely from the coronary arteries. 11 Normal bronchial arteries may enlarge in the presence of any factor that decreases the flow of blood to the lungs, for instance in the presence of congestion, as well as in association with other forms of congenital cardiac disease.…”

Section: Embryological Aspectsmentioning

confidence: 99%

“…Without doubt, the most complex anatomic arrangements are found in patients with systemicto-pulmonary collateral arteries (Figs 9 and 10). These vessels, usually from two to six in number, 13 may vary significantly in terms of their size, origin, and connections to the lungs.…”

Section: Supply By Systemic To Pulmonary Collateral Arteriesmentioning

confidence: 99%

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Systemic-to-pulmonary blood supply in tetralogy of Fallot with pulmonary atresia

Rossi

Hislop²,

Anderson³

et al. 2002

Cardiol Young

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Tetralogy of Fallot with pulmonary atresia is one of the most challenging congenital cardiac malformations, for the morphologist, cardiologist and surgeon alike. Much of the difficulty in this lesion concerns the nature and development of pulmonary arterial supply, and the manner in which complete segmental supply to the lungs can be successfully restored or maintained. In this review, we discuss the anatomy and nomenclature of the lesion, emphasising the variability that can occur in pulmonary arterial anatomy, particularly in the presence of systemic-to-pulmonary collateral arteries. We speculate on the likely embryologic origins of these connections. Then by means of anatomic-clinical correlations, we emphasise the diagnostic approach to delineating the origin and extent of the pulmonary vasculature.

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Patterns of origin and distribution of the major bronchial arteries in man

Liebow

1965

Am. J. Anat.

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In 50 lungs prepared as casts, the most common pattern of arrangement of the bronchial arteries, occurring in 30% of all lungs, was that of two posterior bronchial trunks to each side; next in frequency was the pattern of two trunks to the left and one to the right lung. In more than three-fourths of all cases there were not more than two bronchial arteries on each side. In two-thirds of the specimens various bronchial arteries arose both directly from the aorta and indirectly from an intercosto-bronchial trunk. At least one intercosto-bronchial trunk was present in 37 of the 50 specimens. All such trunks, even those supplying the left lung, took origin from the right side of the aorta, almost always from the first or second posterior segmental aortic branches, i.e., at the level of the fifth or sixth thoracic vertebra. Almost all intercosto-bronchial trunks yielded a right bronchial artery. Approximately 84% of the left bronchial arteries sprang directly from the aorta. In 22% a single trunk was the source of all bronchial arteries to both lungs, and in 14% this trunk arose directly from the aorta. In 84% also there was at least one bronchial artery that supplied bronchi of both lungs.Arteries arising high on the anterior or right lateral surface of the aorta were found in more than one-half of the casts, more than three times as frequently as in previously reported dissections.

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Subclavian origin of bronchial arteries

Cited by 18 publications

References 3 publications

Pulmonary atresia with bronchial arteries arising from the subclavian arteries.

Pulmonary atresia with bronchial arteries arising from the subclavian arteries.

Systemic-to-pulmonary blood supply in tetralogy of Fallot with pulmonary atresia

Patterns of origin and distribution of the major bronchial arteries in man

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