A rare case of atypical thoracodorsal artery: a challenge for flap reconstruction

The thoracodorsal artery mainly supplies the latissimus dorsi muscle. Anatomical details pertaining to the origin and distribution of thoracodorsal artery are important because the latissimus dorsi myocutaneous flap is one of the most reliable and versatile flaps used in reconstructive surgery. Atyp...

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Veröffentlicht in:Surgical and radiologic anatomy (English ed.) 2018-08, Vol.40 (8), p.899-902
Hauptverfasser: Kumar, Naveen, Aithal, Ashwini P., Nayak, Satheesha B., Bhaskar, Ravi
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container_issue 8
container_start_page 899
container_title Surgical and radiologic anatomy (English ed.)
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creator Kumar, Naveen
Aithal, Ashwini P.
Nayak, Satheesha B.
Bhaskar, Ravi
description The thoracodorsal artery mainly supplies the latissimus dorsi muscle. Anatomical details pertaining to the origin and distribution of thoracodorsal artery are important because the latissimus dorsi myocutaneous flap is one of the most reliable and versatile flaps used in reconstructive surgery. Atypical origin and course of the thoracodorsal artery is, therefore, a challenge for flap reconstruction surgeries. In the present case, we report multiple variations in the branching pattern of axillary artery. The thoracodorsal artery had an unusual origin from the second part of axillary artery. The trunk of thoracoacromial artery was absent. The thoracodorsal artery after its origin, descended downwards over the lateral pectoral region lying deep to pectoralis minor but superficial to teres major muscles. It terminated by supplying the latissimus dorsi muscle. Due to the presence of atypical thoracodorsal branch, the subscapular artery continued as the circumflex scapular artery.
doi_str_mv 10.1007/s00276-018-2009-1
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subjects Anatomic Variation
Anatomic Variations
Anatomy
Anatomy & physiology
Axillary Artery - abnormalities
Cadaver
Humans
Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Muscles
Orthopedics
Plastic surgery
Radiology
Reconstructive surgery
Reconstructive Surgical Procedures - methods
Superficial Back Muscles - blood supply
Superficial Back Muscles - transplantation
Surgery
Surgical Flaps - blood supply
Surgical Flaps - transplantation
Veins & arteries
title A rare case of atypical thoracodorsal artery: a challenge for flap reconstruction
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