A. axillarisden ayrılan A. brachialis süperficialis

Amaç: A. axillarisden ayrılan a. brachialis süperficialis varyasyonunun değerlendirilmesi. Olgu sunumu: Anatomi Anabilim Dalı rutin laboratuvar diseksiyonları esnasında 42 yaşında bir erkek kadavrada a. axillarisin 2. costa üst seviyesinde ilk dalını verdikten sonra iki köke (a. brachialis süperficialis ve a. brachialis profunda ) ayrıldığı gözlendi. A. axillarisin 2. ve 3. dalı a. brachialis süperficialisden ayrılırken, diğer dalların ise a. brachialis profundadan çıktığı tespit edildi. A. brachialis profundadan tek bir kütük olarak ayrılan A. profunda brachii bulunamadı. Bunun yerine a. brachialis profundanın A. profunda brachii seyrine uyacak şekilde onun dallarını vererek sonyandığı tespit edildi. A. brachialis süperficialisin kolun distalinde a. collateralis ulnaris superior ve inferior dallarını verdikten sonra art. cubitiden geçen transvers eksenin yaklaşık 1,5-2 cm altında terminal dallarına (a.radialis ve a. ulnaris) ayrıldığı gözlendi. Sonuç: Bu vakada a. axillarisin nadir görülen bu varyasyonunun daha önce bildirilen benzer varyasyonlardan ayrılan özelliği, a. brachialis profundadan tek bir kütük olarak ayrılan a. profunda brachiinin saptanamamış olmasıdır. A. axillarisin varyasyonlarının bilinmesi, klinik uygulamalarda plastik cerrahlar, ortopedistler ve radyologlar açısından oldukça önemlidir.

The superficial brachial artery originating from the axillary artery

Objective: Evaluation of superficial brachial artery originating from the axillary artery. Case report: We observed an unusual division of axillary artery into two branches (superficial and deep brachial artery) after giving a branch at the superior level of the 2nd rib in a 42 years old male cadaver during routine laboratory dissections in Anatomy Department. The 2nd and 3rd branches of the axillary artery were arised from the superficial brachial artery whereas the other branches were originated from the deep brachial artery. A. profunda brachii could not have been observed as main trunk arised from the deep brachial artery. Instead of that the deep brachial artery was observed to be terminated by giving the branches of a. profunda brachii after showing a similar route to that artery. The superficial brachial artery was giving superior and inferior ulnar collateral arteries at distal arm, and its terminal branches (ulnar and radial artery) at the level of 1.5-2 cm distally to the transverse plane of the elbow joint. Conclusion: The originality of this rare variation of axillary artery from similar previous reports is that the absence of a. profunda brachii. Such a background information may be quite important for the plastic surgeons, orthopedics and radiologists for clinical applications.

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