The inferior phrenic artery: Origin and suprarenal branches

Pick, James W.; Anson, Barry J.

doi:10.1002/ar.1090780402

Cited by 54 publications

(43 citation statements)

References 10 publications

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“…Separation of this series into two trunks (gastro-lieno-phrenic and hepato-mesenteric trunks), as reported herein, does occur (Tandler, 1904;Eaton, 1917;Adachi, 1928;Pick and Anson, 1940a;Michels, 1942Michels, , 1949.…”

Section: Discussionsupporting

confidence: 60%

“…The accessory left inferior phrenic artery originated from the left renal artery is also rare anomaly (1%) (Pick and Anson, 1940a). The right inferior phrenic artery originated from the gastrolieno-phrenic trunk (see above) or celiac trunk is a well known anomaly (40%) (Pick and Anson, 1940a). We are at a loss to explain the origins of these two arteries.…”

Section: Discussionmentioning

confidence: 95%

“…The arteries of the upper abdomen (including the inferior phrenic arteries), supplying the diaphragm, liver, spleen, pancreas, stomach, duodenum and other organs, show a wide variety of origins and branching patterns (Tandler, 1904;Eaton, 1917;Adachi, 1928;Pick and Anson, 1940a;Michels, 1942Michels, , 1949. Separation of this series into two trunks (gastro-lieno-phrenic and hepato-mesenteric trunks), as reported herein, does occur (Tandler, 1904;Eaton, 1917;Adachi, 1928;Pick and Anson, 1940a;Michels, 1942Michels, , 1949.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that this anomaly represents a well developed remnant of inconsistent parietal branches of the splenic artery. The accessory left inferior phrenic artery originated from the left renal artery is also rare anomaly (1%) (Pick and Anson, 1940a). The right inferior phrenic artery originated from the gastrolieno-phrenic trunk (see above) or celiac trunk is a well known anomaly (40%) (Pick and Anson, 1940a).…”

Section: Discussionmentioning

confidence: 99%

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Common Hepatic Artery Ascending on the Anterior Surface of the Pancreas and Left Renal Vein Running Beneath the Diaphragm

Ohtsuka

Kikuta

Murakami

1983

Okajimas Folia Anatomica Japonica

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Summary:Rare vascular anomalies were observed postmortem in a Japanese female (60-yearold). 1) The common hepatic artery arose from the superior mesenteric artery, ascended on the anterior surface of the pancreas, where the right gastro-epiploic and right gastric arteries branched, and continued as a normally-positioned proper hepatic artery. 2) Superior to the inferior phrenic arteries and along the caudal surface of the diaphragm, the left renal vein ran, collecting its usual tributaries; it emptied into the inferior vena cava 4 cm rostral and oppositethe right renal vein. The unusual common hepatic artery is thought to be comprised of the anterior branches of the superior and inferior pancreatico-duodenal arteries which enlarged in a compensation for dysgenesis of the usual common hepatic artery. The anomalous left renal vein suggests additional embryological anastomoses between the subcardinal veins rostral or superior to the omphalomesenteric artery.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Common Hepatic Artery Ascending on the Anterior Surface of the Pancreas and Left Renal Vein Running Beneath the Diaphragm

Ohtsuka

Kikuta

Murakami

1983

Okajimas Folia Anatomica Japonica

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“…Table 2 summarizes the results of the previous studies; ten sides of the present study where the ascending and posterior branches of the LIPA originated separately are excluded from the table in order to simplify the comparison with previous results. However, no major anatomy textbooks, atlases or previous studies with vast sample sizes mentioned that the ascending and posterior branches of LIPA might originate from different sources as individual arteries (8,(13)(14)(15)(16)(17)(18)(19). Some studies defined these arteries either as accessory left inferior phrenic arteries or cases with a LIPA originating from the RIPA and provided no detail regarding their branches (20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

Inferior Phrenic Arteries and Their Branches, Their Anatomy and Possible Clinical Importance: An Experimental Cadaver Study

Gürses¹,

Gayretli²,

Kale³

et al. 2015

Balkan Med J

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Surgery is the preferred treatment method for hepatic malignancies. Due to advanced tumor stage and accompanying cirrhosis, most cases are considered inoperable at the time of diagnosis (1). It is well known that the blood supply to liver malignancies is typically arterial, unlike the parenchyma, which is supplied by the portal vein (2). Apart from being the main arterial supply to the diaphragm, the right and left inferior phrenic arteries (RIPA and LIPA), are extrahepatic collateral arterial pathways that supply hepatic malignancies, because they neighbor hepatic segments as they traverse the bare area of the liver (3,4). Among the arterial pathways that supply liver malignancies, both RIPA and LIPA constitute nearly half of the collaterals, with RIPA being the most common and LIPA being the 4th or 6 th most common (5,6). Therefore, both RIPA and LIPA are used during transcatheter arterial chemoembolization of liver malignancies (5-7). Furthermore, LIPA gives branches that supply the stomach and esophagus and can be a source of arterial bleeding at the esophagogastric junction (8)(9)(10)(11)(12).In this study, we aimed to investigate the anatomy of the inferior phrenic arteries -with special reference to the branches of the LIPA -and to outline their clinical importance with anatomical pitfalls which we believe may help interventional radiologists.Background: Transcatheter arterial chemoembolization is a common treatment for patients with inoperable hepatocellular carcinoma. If the carcinoma is advanced or the main arterial supply, the hepatic artery, is occluded, extrahepatic collateral arteries may develop. Both, right and left inferior phrenic arteries (RIPA and LIPA) are the most frequent and important among these collaterals. However, the topographic anatomy of these arteries has not been described in detail in anatomy textbooks, atlases and most previous reports. Aims: To investigate the anatomy and branching patterns of RIPA and LIPA on cadavers and compare our results with the literature. Study Design: Descriptive study. Methods: We bilaterally dissected 24 male and 2 female cadavers aged between 49 and 88 years for this study. Results:The RIPA and LIPA originated as a common trunk in 5 cadavers. The RIPA originated from the abdominal aorta in 13 sides, the renal artery in 2 sides, the coeliac trunk in 1 side and the left gastric artery in 1 side. The LIPA originated from the abdominal aorta in 9 sides and the coeliac trunk in 6 sides. In 6 cadavers, the ascending and posterior branches of the LIPA had different sources of origin. Conclusion: As both the RIPA and LIPA represent the half of all extrahepatic arterial collaterals to hepatocellular carcinomas, their anatomy gains importance not only for anatomists but interventional radiologists as well.

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Inferior phrenic arteries: Depiction with thin-section three-dimensional contrast-enhanced dynamic MR imaging with fat suppression

Ito¹,

Kim²,

Mitchell³

et al. 2001

J. Magn. Reson. Imaging

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The inferior phrenic artery: Origin and suprarenal branches

Cited by 54 publications

References 10 publications

Common Hepatic Artery Ascending on the Anterior Surface of the Pancreas and Left Renal Vein Running Beneath the Diaphragm

Common Hepatic Artery Ascending on the Anterior Surface of the Pancreas and Left Renal Vein Running Beneath the Diaphragm

Inferior Phrenic Arteries and Their Branches, Their Anatomy and Possible Clinical Importance: An Experimental Cadaver Study

Inferior phrenic arteries: Depiction with thin-section three-dimensional contrast-enhanced dynamic MR imaging with fat suppression

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