Absence of the brachial artery: Report of a rare human variation and review of upper extremity arterial anomalies

Ciervo, Alfonso; Kahn, Mark; Pangilinan, Audwin; Dardik, Herbert

doi:10.1067/mva.2001.112212

Cited by 43 publications

(34 citation statements)

References 3 publications

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“…We also found a very rare case reported by Ciervo et al 23 claiming absence of the brachial artery. The brachial artery was absent from its origin but reconstituted as a normal-appearing vessel 3 cm above the antecubital fossa.…”

Section: 11supporting

confidence: 58%

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

et al. 2009

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Arterial variations in the arm are of potential clinical implications as it is a frequent site of injury and also involved in many surgical and invasive procedures. During a dissection of the right upper extremity, an abnormal high origin of the radial and ulnar arteries was found. The brachial artery had a very short segment without any branches, divided into the radial and ulnar arteries at the upper third of the arm. The course and branching pattern of these radial and ulnar arteries in the arm are discussed. It was also observed that the profunda brachii artery was represented by two separate branches arising from the posterior circumflex humeral artery. Accurate knowledge of these variation patterns is of considerable clinical importance in the conduct of reparative surgeries around the shoulder and fracture management of the humerus. These additional data of arterial anomalies to contemporary anatomical literature are of interest to clinicians, in particular vascular and plastic surgeons and radiologists.

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Section: 11supporting

confidence: 58%

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

et al. 2009

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“…The knowledge of these variations is important to interventional surgeons, radiologists and anatomists. The brachial artery may be absent in rare cases (Ciervo et al, 2001); divided in a higher level (Standring, 2005), trifurcating (Malci-Gürbuz et al, 2002;Vollala et al, 2008) and originating accessory branches that may or may not bifurcate into radial and ulnar arteries (McCormack et al;Yang et al, 2008). In this case report, we described just one of these variations of the brachial artery, with a pattern never reported before in the literature, and relevant for clinical practice, surgeons and radiologists.…”

Section: Introductionmentioning

confidence: 67%

A Rare Pattern of Brachial Artery Variation: Case Report

Jácomo¹,

Saleh²,

Andrade³

et al. 2014

Int. J. Morphol.

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SUMMARY:Unlike the venous system, variations in arterial anatomy are less frequent and most of them affect visceral arteries. In limbs, variations of the brachial artery are the most reported and at least six different patterns have been described so far. The commonest is the superficial brachial artery which lies superficially to the median nerve. Much less prevalent are the high origin of the radial artery (brachioradial artery) or the existence of a doubled brachial artery (accessory brachial artery). We present a previously undescribed pattern of brachial artery variation. During dissection of the right upper limb of a 60 year-old male embalmed cadaver, we found the bifurcation of the brachial artery in the proximal portion of the middle third of the arm. Its medial branch reaches the medial aspect of the arm, posterior to the median nerve. Afterwards, this medial branch redirects laterally and crosses again the median nerve, this time lying anterior to the nerve until it reaches the lateral aspect of the arm. At the elbow level, the medial branch originates the radial artery. The lateral branch of the brachial artery remains lateral to the median nerve and continues as ulnar artery and originates the interosseus artery.

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“…In another interesting case report, the superficial brachial and subscapular arteries coexisted in the absence of the normal brachial artery, and the superficial subscapular artery send off the lateral thoracic artery, and then branched off into the thoracodorsal, circumflex scapular, posterior circumflex humeral and finally the DBA 2 . In other case, a variation in the arterial anatomy of the upper extremities was reported, in which the BA was absent from its origin, and also the DBA 6 .…”

Section: Discussionmentioning

confidence: 99%

“…From this axial artery, which represents the axillary, brachial, and anterior interosseous, the forearm arteries appear successively. The axillary and brachial arteries begin their development at stages 16 and 17 successively and, therefore, anatomical variations including these vessels may have originated at this time 6,7 . In 55% of the cases 1,2 , the deep brachial artery (DBA) is the larger branch issued from the brachial artery (BA), and it leaves near the bottom edge of the teres major muscle to penetrate above the medial intermuscular septum on the lower triangular axillary space together with a radial nerve (RN) 8,9 .…”

Section: Introductionmentioning

confidence: 99%

Anomalous origin of the deep brachial artery (profunda brachii) observed in bilateral arms: case report

et al. 2013

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During an ordinary dissection, a cadaver showed a bilateral anomalous origin of the deep brachial artery, where this vessel appeared like a branching of the subscapular artery with common trunk, which included the posterior circumflex humeral artery. The course and distribution of the deep brachial artery in the back compartment were relatively consistent with previous reports. Arterial variations can be damaged through iatrogenic means if not properly documented. The knowledge of this case is very important in clinical medicine and in surgeries in this compartment to prevent any injury.Keywords: deep brachial artery; anatomical variation; surgery. ResumoDurante dissecação em prática usual, um cadáver apresentou origem anômala da artéria braquial profunda, na qual este vaso apareceu como um ramo da artéria subescapular com um tronco comum, que incluiu a artéria circunflexa posterior do úmero. O curso e a distribuição da artéria braquial profunda no compartimento posterior foram relativamente coincidentes com relatos prévios. Variações arteriais podem ser danificadas de maneira iatrogênica se não forem adequadamente documentadas. O conhecimento desse caso é muito importante na prática clínica e em cirurgias nesse compartimento para prevenção de qualquer injúria.Palavras-chave: artéria braquial profunda; variação anatômica; cirurgia.

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Absence of the brachial artery: Report of a rare human variation and review of upper extremity arterial anomalies

Cited by 43 publications

References 3 publications

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

A Rare Pattern of Brachial Artery Variation: Case Report

Anomalous origin of the deep brachial artery (profunda brachii) observed in bilateral arms: case report

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