Double brachial artery dr. kk

50 %
50 %
Information about Double brachial artery dr. kk

Published on March 11, 2014

Author: DrKKalaivananDrKK



Double Brachial Artery
Congenital Vascular anamoly
Fracture humerus with brachial artery injury

TITLE: Vascular injury with fracture humerus encountered in a case of double axillary artery and double brachial artery - A rare clinical case report. AUTHOURS: Dr. Sanjeev Jain Dr. K. Kalaivanan * Dr. Aditya C Pathak Dr. Amish P Mhatre

INTRODUCTION • To the best of our knowledge, such a rare combination of double axillary and double brachial arteries encountered in a case of fracture humerus with brachial artery injury is the first to report in clinical practice. • A 30-year-old female presented to our accident and emergency department with fracture right humerus and absent right radial pulse.

CASE STUDY • Her contrast-enhanced computed tomographic angiography revealed high bifurcation of right subclavian artery prior to axilla into two axillary arteries. • The axillary artery-1 continued as the superficial brachioulnar artery. • The axillary artery-2 continued as the deep brachioradial artery with an occlusion in its flow at the level of fracture right humerus. • Distal to the occlusion, the deep brachioradial artery continued to form intact palmar arch with superficial brachioulnar artery.

CASE STUDY • The fracture humerus was fixed with plate osteosynthesis and bone grafting. • Non-invasive treatment method was chosen for brachial artery injury, intraoperatively. • With a complete clinico-radiological investigation and better preoperative planning, we protected her superficial brachioulnar artery from iatrogenic injury.

CONCLUSION The key message of our study is that “every trauma case needs a thorough clinical examination and an adequate radiological examination with proper preoperative planning to avoid iatrogenic injury”. This rare branching pattern is named as “Jain Variation” for literature support.

CT ANGIOGRAPH Axillary artery-2 continued as the deep brachioradial artery with an occlusion in its flow at the level of fracture.


REFRENCES [1] Rodriguez-Niedenfuhr M, Burton GJ, Deu J, Sanudo JR. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001; 199: 407–417. [2] Rodriguez-Niedenfuhr M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001; 199: 547–566. [3] Deligonul U, Gabliani G, Kern MJ, Vandormael M. Percutaneous brachial catheterization: the hidden hazard of high brachial artery bifurcation. Cathet Cardiovasc Diagn. 1988; 14: 44–45. [4] Prithishkumar IJ, Chathu M. A rare, variant overlapping of the brachioradial and the deep brachial artery in the arm: a potential hazard for angiography. J Clin Diagn Res. 2011; 5: 862– 864. [5] VijayaBhaskar P, Ritesh R, Shankar PR. Anomalous branching of the axillary artery: A case report. Kathmandu Univ Med J (KUMJ). 2006; 4: 517–519. [6] Jayakumari S, Rath G, Arora J. Unilateral double axillary and double brachial arteries. Embryological basis and clinical implications. Int J Morphol. 2006; 24: 463–468. [7] Jurjus AR, Correa-De-Aruaujo R, Bohn RC. Bilateral double axillary artery: embryological basis and clinical implications. Clin Anat. 1999; 12: 135–140. [8] Hunt CA, Kingsley JR. Vascular injuries of the upper extremity. South Med J. 2000; 93: 466– 468. [9] Mirdad TM. Neuro-Vascular injuries associated with limb fractures. East Afr Med J. 2000; 77: 663–666. [10] Johansen K, Lynch K, Paun M, Copass M. Noninvasive vascular tests reliably exclude occult arterial trauma in injured extremities. J Trauma. 1991; 31: 515–519.

Add a comment

Related presentations

Related pages

Brachial plexus - Science -

BRACHIAL PLEXUS INJURY IN NEONATES Dr. Maher Shoblaq Dr. Zuhair ALDajani 1764 Obstetrical brachial palsy described by Smellie. 1874 Wilhelm H. Erb ...
Read more

Kalaivanan Kanniyan Dr. KK | LinkedIn

View Kalaivanan Kanniyan Dr. KK’S professional profile on LinkedIn. ... Double Brachial Artery Double Axillary Artery. Authors: Kalaivanan Kanniyan Dr. KK,
Read more

Anatomical Variations of Brachial Artery - Its Morphology ...

Anatomical variations of brachial artery ... reported a case of double brachial arteries in which superficial brachial artery ... Chakravarthi KK.
Read more

Brachial artery flow-mediated dilatation and carotid ...

Impaired brachial artery endothelium-dependent and-independent vasodilation ... Chew KK, Finn J ... A prospective, randomized, double-blind pilot ...
Read more

Management of Bilateral Brachial Artery Pseudoaneurysms in ...

Management of Bilateral Brachial Artery Pseudoaneurysms ... Correspondence to Dr ... Yau KK, Cheung YS, et al.. Management of brachial artery ...
Read more

Does Brachial Artery Flow–Mediated Vasodilation Provide a ...

... GRECC 182, Bldg 2 Rm 1C03, 500 Foothill Dr, Salt Lake City, UT 84148. E-mail ... the role of NO in brachial artery flow ... double -blind, three-arm ...
Read more

The effect of vardenafil on endothelial function of ...

The effect of vardenafil on endothelial function of brachial and cavernous arteries. ... of the brachial artery before and 1 h after ... Kaiser DR ...
Read more

Extracorporeal double filtration plasmapheresis in acute ...

Extracorporeal Double ... Extracorporeal Double Filtration Plasmapheresis in Acute Atherothrombotic Brain Infarction Caused by Major Artery ...
Read more