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Common and separate origins of the left and right inferior phrenic artery with a review of the literature
Affiliations- Department of Anatomy, Division of Basic Medicine, Tokai University School of Medicine, Japan, Japan
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Abstract
In a 94-year-old male cadaver, upon which routine dissection was being conducted, a rare variation was found in the gastrophrenic trunk (GPT), the common trunk of the left gastric artery (LGA), right inferior phrenic artery (RIPA), and left inferior phrenic artery (LIPA); the GPT arises from the abdominal aorta. A hepatosplenic trunk accompanied the variation. In this variation, the RIPA first branched from the GPT and then to the LIPA and LGA. Variations in the common trunk of the LIPA and RIPA in the GPT are common, but to our knowledge, a variation (separate inferior phrenic artery in the GPT) similar to our findings has not been previously reported. We discuss the incidence and developmental and clinical significance of this variation with a detailed review of the literature. Knowledge of such a case has important clinical significance for invasive and non-invasive arterial procedures. Therefore, different variations concerning the LGA and inferior phrenic artery should be considered during surgical and non-surgical evaluations.
Abstract
In a 94-year-old male cadaver, upon which routine dissection was being conducted, a rare variation was found in the gastrophrenic trunk (GPT), the common trunk of the left gastric artery (LGA), right inferior phrenic artery (RIPA), and left inferior phrenic artery (LIPA); the GPT arises from the abdominal aorta. A hepatosplenic trunk accompanied the variation. In this variation, the RIPA first branched from the GPT and then to the LIPA and LGA. Variations in the common trunk of the LIPA and RIPA in the GPT are common, but to our knowledge, a variation (separate inferior phrenic artery in the GPT) similar to our findings has not been previously reported. We discuss the incidence and developmental and clinical significance of this variation with a detailed review of the literature. Knowledge of such a case has important clinical significance for invasive and non-invasive arterial procedures. Therefore, different variations concerning the LGA and inferior phrenic artery should be considered during surgical and non-surgical evaluations.
Keywords
separate left gastric artery, inferior phrenic artery, gastrophrenic trunk, vascular development, cadaver
About this articleTitle
Common and separate origins of the left and right inferior phrenic artery with a review of the literature
Journal
Issue
Article type
Original article
Pages
408-413
Published online
2017-03-09
Page views
1624
Article views/downloads
1962
DOI
Pubmed
Bibliographic record
Folia Morphol 2017;76(3):408-413.
Keywords
separate left gastric artery
inferior phrenic artery
gastrophrenic trunk
vascular development
cadaver
Authors
H. Terayama
S.-Q. Yi
O. Tanaka
T. Kanazawa
K. Suyama
N. Kosemura
S. Tetsu
H. Yamazaki
R. Sakamoto
S. Kawakami
T. Suzuki
K. Sakabe
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