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DOI: 10.4103/0970-0358.129643
Anomalous superficial ulnar artery based flap
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Publication History
Publication Date:
26 August 2019 (online)
ABSTRACT
Upper limb shows a large number of arterial variations. This case report describes the presence of additional superficial ulnar artery which was used to raise a pedicle flap to cover an arm defect thus avoided using the main vessel of the forearm - radial or ulnar artery. Vascular anomalies occurring in the arm and forearm tend to increase the likelihood of damaging the superficial anomalous arteries during surgery. Superficial ulnar or radial arteries have been described to originate from the upper third of the brachial artery; here we report the origin of the anomalous superficial ulnar artery originating from the brachial artery at the level of elbow with the concomitant presence of normal deep radial and ulnar arteries.
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KEY WORDS
Anomalous artery based flap - arterial variations of the forearm - superficial ulnar artery based flap
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Conflicts of interest
None declared.
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REFERENCES
- 1 Singer E. Embryological pattern persisting in the arteries of the arm. Anat Rec 1933; 55: 403-9
- 2 Rodriguez-Niedenfuhr M, Vazquez T, Parkin IG, Sanudo JR. Arterial patterns of the human upper limb: Update of anatomical variations and embryological development. Eur J Anat 2003; 7: 21-8
- 3 Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR. et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 1995; 187: 473-9
- 4 Ramanathan L, Nayak SR, Vinay KV, Krishnamurthy A, Prabhu LV. Co-existence of superficial brachio-ulno-radial arterial pattern and persistent median artery. Indian J Plast Surg 2009; 42: 112-4
- 5 Rodríguez-Niedenführ M, Burton GJ, Deu J, Sañudo JR. Development of the arterial pattern in the upper limb of staged human embryos: Normal development and anatomic variations. J Anat 2001; 199: 407-17
- 6 Devansh. Superficial ulnar artery flap. Plast Reconstr Surg 1996; 97: 420-6
- 7 Fadel RA, Amonoo-Kuofi HS. The superficial ulnar artery: Development and surgical significance. Clin Anat 1996; 9: 128-32
- 8 Yuksel M, Yuksel E, Weinfeld AB, Shenaq SM. Superficial ulnar artery: Embryology, case report, and clinical significance in reconstructive microsurgery. J Reconstr Microsurg 1999; 15: 415-20
- 9 Fatah MF, Nancarrow JD, Murray DS. Raising the radial artery forearm flap: The superficial ulnar artery "trap". Br J PLast Surg 1985; 38: 394-5
Address for correspondence:
-
REFERENCES
- 1 Singer E. Embryological pattern persisting in the arteries of the arm. Anat Rec 1933; 55: 403-9
- 2 Rodriguez-Niedenfuhr M, Vazquez T, Parkin IG, Sanudo JR. Arterial patterns of the human upper limb: Update of anatomical variations and embryological development. Eur J Anat 2003; 7: 21-8
- 3 Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR. et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 1995; 187: 473-9
- 4 Ramanathan L, Nayak SR, Vinay KV, Krishnamurthy A, Prabhu LV. Co-existence of superficial brachio-ulno-radial arterial pattern and persistent median artery. Indian J Plast Surg 2009; 42: 112-4
- 5 Rodríguez-Niedenführ M, Burton GJ, Deu J, Sañudo JR. Development of the arterial pattern in the upper limb of staged human embryos: Normal development and anatomic variations. J Anat 2001; 199: 407-17
- 6 Devansh. Superficial ulnar artery flap. Plast Reconstr Surg 1996; 97: 420-6
- 7 Fadel RA, Amonoo-Kuofi HS. The superficial ulnar artery: Development and surgical significance. Clin Anat 1996; 9: 128-32
- 8 Yuksel M, Yuksel E, Weinfeld AB, Shenaq SM. Superficial ulnar artery: Embryology, case report, and clinical significance in reconstructive microsurgery. J Reconstr Microsurg 1999; 15: 415-20
- 9 Fatah MF, Nancarrow JD, Murray DS. Raising the radial artery forearm flap: The superficial ulnar artery "trap". Br J PLast Surg 1985; 38: 394-5