Thoracoacromial Artery Perforator Flap

Zhang, Yi; Hu, Yan; Messmer, Caroline; Ong, Yee Siang; Li, Zan; Zhou, Xiao; Spinelli, Giuseppe; Agostini, Tommaso; Levin, L. Scott; Lazzeri, Davide

doi:10.1097/prs.0b013e3182865bf5

Cited by 32 publications

(17 citation statements)

References 23 publications

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“…Knowledge of the location, morphology, and variations of the TAT and its branches may be of great importance in plastic and reconstructive surgeries. Zhang et al presented an extensive study providing evidence of the vascular supply and the clinical application of the perforator flap of the thoracoacromial artery [ 18 ]. In the study, both cadaveric and clinical investigations of the TAT were carried out.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have described this type of flap as a good choice for the repair of tracheal defects due to its short harvest time, thin thickness, and stable blood supply [ 1 ]. Zhang et al presented a cadaveric and clinical study on the potential clinical application of the TAT perforator flap [ 18 ]. The authors of the study found a constant TAT perforator in the septum of the clavicular and sternocostal heads of the pectoralis major muscle in 21 of 24 hemichests.…”

Section: Introductionmentioning

confidence: 99%

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The thoracoacromial trunk: a detailed analysis

Bonczar

Gabryszuk²,

Ostrowski

et al. 2022

Surg Radiol Anat

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Purpose The thoracoacromial trunk (TAT) originates from the second part of the axillary artery and curls around the superomedial border of the pectoralis minor, subsequently piercing the costocoracoid membrane. Knowledge about the location, morphology, and variations of the TAT and its branches is of great surgical importance due to its frequent use in various reconstructive flaps. Methods A retrospective study was conducted to establish anatomical variations, their prevalence, and morphometric data on TAT and its branches. The results of 55 consecutive patients who underwent neck and thoracic computed tomography angiography were analyzed. A qualitative evaluation of each TAT was performed. Results A total of 15 morphologically different TAT variants were initially established. The median length of the TAT was set at 7.74 mm (LQ 3.50; HQ 13.65). The median maximum diameter of the TAT was established at 4.19 mm (LQ 3.86; HQ 4.90). The median TAT ostial area was set to 13.97 mm (LQ 11.70; HQ 18.86). To create a heat map of the most frequent location of the TAT, measurements of the relating structures were made. Conclusion In this study, the morphology and variations of the branching pattern of the TAT were presented, proposing a new classification system based on the four most commonly prevalent types. The prevalence of each branch arising directly from the TAT was also analyzed. It is hoped that the results of the present anatomical analysis can help to minimize potential complications when performing plastic or reconstructive procedures associated with TAT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The thoracoacromial trunk: a detailed analysis

Bonczar

Gabryszuk²,

Ostrowski

et al. 2022

Surg Radiol Anat

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“…1,3 Certain areas of these regions are used as donors in clinical practice for reconstruction surgeries of the head and neck, as well as radical mastectomies. [4][5][6][7][8][9] In case of injuries of the anterior chest wall, the AA and its branches may also be involved, which may also require surgical intervention. [3][4][5][6][7] Considering the clinical significance, aside of the classical description of AA branches, familiarity with different variations is also important.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7][8][9] In case of injuries of the anterior chest wall, the AA and its branches may also be involved, which may also require surgical intervention. [3][4][5][6][7] Considering the clinical significance, aside of the classical description of AA branches, familiarity with different variations is also important. Lack of knowledge can lead to difficulties for plastic surgery, orthopedic surgery, and vascular surgery professionals during procedures involving this area.…”

Section: Introductionmentioning

confidence: 99%

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An Anatomical Variation of Terminal Branches of the Thoracoacromial Artery – Case Report

Kocsis

Harșa

Dénes

et al. 2020

Journal of Interdisciplinary Medicine

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Introduction: Mapping the branching patterns of the thoracoacromial artery has a particular practical importance. Familiarity with the different anatomical variations is essential for successful surgical procedures in the anterior shoulder region.Case presentation: We present an unusual anatomical variant observed during the dissection of a cadaver at the Department of Anatomy and Embryology of the “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Târgu Mureş, Romania. According to the classical description, the thoracoacromial artery originates from the second part of the axillary artery, but we observed an unusual branching variation: the thoracoacromial artery provided a subscapular branch right after its origin, then it split into a pectoral branch, the lateral thoracic artery, and a common trunk that gave a second pectoral branch and a deltoid-acromial branch. The clavicular branch was missing.Conclusions: The case we presented demonstrates that there are anatomical variations of the axillary artery system that are partially or entirely different from the classical descriptions. Our study describes a variation of the thoracoacromial artery that has not been reported so far.

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