Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.

Variations in the arterial pattern of the upper extremity are numerous and have been documented. Superficially placed arteries in the cubital fossa may be mistaken for cutaneous veins and may lead to intra-arterial injection instead of the intended intra-venous one. This may lead to serious complica...

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Main Authors: Simmi M, Dalpat SC
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2014
Online Access:http://journalarticle.ukm.my/8360/
http://journalarticle.ukm.my/8360/1/19-MS1173_%2866-69%29.pdf
id ukm-8360
recordtype eprints
spelling ukm-83602016-12-14T06:47:02Z http://journalarticle.ukm.my/8360/ Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications. Simmi M, Dalpat SC, Variations in the arterial pattern of the upper extremity are numerous and have been documented. Superficially placed arteries in the cubital fossa may be mistaken for cutaneous veins and may lead to intra-arterial injection instead of the intended intra-venous one. This may lead to serious complications like haemorrhage, necrosis of forearm or digits, or arterio-venous fistula. Compression symptoms may occur when arteries run an abnormal course through muscles. We report here a rare observation during routine cadaveric dissection of the right brachial artery passing superficial to the bicipital aponeurosis and then trifurcating 2.5cm distal to the bend of elbow into radial artery, ulnar artery and a recurrent muscular branch to brachialis muscle. Radial artery was observed to pass through pronator teres muscle. Knowledge of these arterial variants is important to vascular surgeons to avoid iatrogenic accidents during grafting, microvascular surgeries and radio-diagnostic procedures. A possible embryological explanation for the arterial pattern observed is being described. Department of Surgery, UKM Medical Centre 2014-06-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8360/1/19-MS1173_%2866-69%29.pdf Simmi M, and Dalpat SC, (2014) Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications. Journal of Surgical Academia, 4 (2). pp. 66-69. ISSN 2231-7481
repository_type Digital Repository
institution_category Local University
institution Universiti Kebangasaan Malaysia
building UKM Institutional Repository
collection Online Access
language English
description Variations in the arterial pattern of the upper extremity are numerous and have been documented. Superficially placed arteries in the cubital fossa may be mistaken for cutaneous veins and may lead to intra-arterial injection instead of the intended intra-venous one. This may lead to serious complications like haemorrhage, necrosis of forearm or digits, or arterio-venous fistula. Compression symptoms may occur when arteries run an abnormal course through muscles. We report here a rare observation during routine cadaveric dissection of the right brachial artery passing superficial to the bicipital aponeurosis and then trifurcating 2.5cm distal to the bend of elbow into radial artery, ulnar artery and a recurrent muscular branch to brachialis muscle. Radial artery was observed to pass through pronator teres muscle. Knowledge of these arterial variants is important to vascular surgeons to avoid iatrogenic accidents during grafting, microvascular surgeries and radio-diagnostic procedures. A possible embryological explanation for the arterial pattern observed is being described.
format Article
author Simmi M,
Dalpat SC,
spellingShingle Simmi M,
Dalpat SC,
Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
author_facet Simmi M,
Dalpat SC,
author_sort Simmi M,
title Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
title_short Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
title_full Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
title_fullStr Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
title_full_unstemmed Variant Course and Branching Pattern of Arteries in the Right Cubital Fossa: Possible Embryological and Clinical Implications.
title_sort variant course and branching pattern of arteries in the right cubital fossa: possible embryological and clinical implications.
publisher Department of Surgery, UKM Medical Centre
publishDate 2014
url http://journalarticle.ukm.my/8360/
http://journalarticle.ukm.my/8360/1/19-MS1173_%2866-69%29.pdf
first_indexed 2023-09-18T19:52:13Z
last_indexed 2023-09-18T19:52:13Z
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