Classification of the superior mesenteric artery.
anatomical variations
cadavers
ileocolic artery
inferior pancreatoduodenal artery
interventional
intestinal arteries
middle colic artery
morphology
new classification
radiology
right colic artery
superior mesenteric artery
surgery
Journal
Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
revised:
25
01
2022
received:
26
10
2021
accepted:
25
01
2022
pubmed:
29
1
2022
medline:
13
4
2022
entrez:
28
1
2022
Statut:
ppublish
Résumé
The aim of this study was to characterize the branching pattern and morphology of the superior mesenteric artery (SMA), and also to create a new SMA classification, which seems necessary for clinicians performing surgery in this anatomical area. The anatomical variations in the branching patterns of the SMA were examined in 30 cadavers fixed in 10% formalin. Morphometric measurements were then obtained twice by two researchers. In the proposed classification system, Type I, characterized by all normal branches-inferior pancreatoduodenal artery, ileocolic artery, right colic artery, middle colic artery and intestinal arteries-occurred in 53.33% of the specimens. Type II, characterized by absence of the inferior pancreatoduodenal artery, was present in 26.67%. Type III, characterized by absence of the right colic artery, was present in 3.33%. Type IV, characterized by a common trunk for the inferior pancreatoduodenal artery and middle colic arteries, was observed in 3.33%. Type V, characterized by an aberrant hepatic artery and absence of the inferior pancreatoduodenal artery, was observed in 13.33%. The origin of the SMA was at the Th12/L1 level in 10% of cases, at L1 in 43.33%, at L1/L2 in 36.67%, and at L2 in 10%. The SMA is characterized by high morphological variability, the variants being associated with distinct clinical aspects. The introduction of a new, structured, anatomical classification seems necessary for all clinicians.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
501-511Informations de copyright
© 2022 American Association for Clinical Anatomists and the British Association for Clinical Anatomists.
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