Anat Cell Biol.  2020 Sep;53(3):366-368. 10.5115/acb.20.054.

A rare cadaveric case of a duplicated internal thoracic artery

Affiliations
  • 1Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA
  • 2Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA
  • 3Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA
  • 4Department of Anatomical Sciences, St. George’s University, St. George’s, Grenada, West Indies, Grenada

Abstract

The internal thoracic artery (ITA) arises from the subclavian artery and terminates as the musculophrenic and inferior epigastric arteries. During routine cadaveric dissection, an aberrant left ITA was discovered. A medial and a lateral branch of the ITA branched directly off the subclavian artery as opposed to bifurcating at the 6th or 7th intercostal space. To our knowledge, this is the first reported case of this particular ITA variation arising from the third part of the subclavian artery. Additionally, such a variant might also be considered a high bifurcation of the ITA. Our report examines this variation and its potential implications for coronary artery bypass grafts where the ITA is commonly used.

Keyword

Mammary arteries; Subclavian artery; Coronary artery bypass

Figure

  • Fig. 1 Left scalene triangle (dotted line). Note the medial (white asterisk) and lateral (black asterisk) branches of the internal thoracic artery.


Reference

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