A Unique Case of Vascular Variations in the Upper Limbs: A Brachioradial Artery and Bilateral Persistent Median Arteries With Incomplete Superficial Palmar Arches.

Autor:	Lee CW 3rd; Department of Surgery, Center for Anatomical Science and Education, Saint Louis University School of Medicine, St. Louis, USA., Vlasak JK; Department of Occupational Health and Occupational Therapy, Saint Louis University Doisy College of Health Sciences, St. Louis, USA., Atwood SG; Department of Surgery, Center for Anatomical Science and Education, Saint Louis University School of Medicine, St. Louis, USA., Tan Y; Department of Surgery, Center for Anatomical Science and Education, Saint Louis University School of Medicine, St. Louis, USA., Daly DT; Department of Surgery, Center for Anatomical Science and Education, Saint Louis University School of Medicine, St. Louis, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 01; Vol. 16 (10), pp. e70634. Date of Electronic Publication: 2024 Oct 01 (Print Publication: 2024).
DOI:	10.7759/cureus.70634
Abstrakt:	Numerous vascular variations were observed in the upper limbs of a 109-year-old female donor to the Gift Body Program of Saint Louis University School of Medicine. Variations in the right upper limb included the presence of a brachioradial artery (BRA), persistent median artery (PMA), and an ulnar-dominant incomplete type B superficial palmar arch (SPA). In the left upper limb, the brachial artery bifurcated normally into the ulnar artery (UA) and radial artery (RA). However, a more developed palmar type of PMA was observed, replacing much of the palmar circulation typically supplied by the superficial palmar branch of the RA, which existed only as a small branch anastomosing with the PMA to form a rare arcus medianoradialis-type SPA. Both PMAs arose from their respective UAs distal to the origin of the common interosseous arteries. The left PMA pierced the median nerve (MN) as it descended the forearm. The extent of these variations together presents a unique case of vascularity in the upper limbs. Knowledge of these variations is pertinent to MN compression pathologies as well as procedures involving the upper limb. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Lee et al.)
Databáze:	MEDLINE
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