Indian Journal of Public Health Research & Development

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A Study of Variations in Origin, Length, Course and Termination of Internal Thoracic Artery


Affiliations
1 Dept of Anatomy, AIMS & RC, Meeyyannoor, Kollam dist, Kerala, India
2 Dept of Anatomy, SSIMS & RC, Davangere, Karnataka, India
3 Dept of Forensic Medicine, SSIMS & RC, Davangere, Karnataka, India
4 Dept of Anatomy, BIMS, Belgaum, Karnataka, India
     

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Internal Thoracic Artery (ITA), also called as Internal Mammary Artery (IMA), arises from the inferior aspect of the first part of the subclavian artery, opposite to the origin of thyro-cervical trunk. It descends vertically 1cm away from the lateral border of the sternum and terminates in 6th intercostal space dividing into musculophrenic and superior epigastric arteries. As Internal Thoracic Artery is most commonly used as cardiac conduit (graft) to bypass occluded or nearly occluded coronary arterial segments in coronary arterial bypass graft (CABG) surgery, cardiac surgeons should know the possible variations pertaining to its origin, length, course, branches, termination and diameter at various intercostal spaces, to choose the level for bypass.

As per dissection procedure given in Cunningham's 15th edition vol-02, anterior thoracic cage was separated in 25 cadavers. Study on internal thoracic arteries carried out by painting arteries. In 84% the arteries were taking origin from I-part of Subclavian artery,10% from throcervical trunk, 4% from suprascapular and transverse cervical artery. 2% arising from suprascapular artery alone, in 88% it is getting terminated at 6th intercostals space, 10% in 5th intercostals space and 2% in 4th intercostals space and mean length 18 cms on right side, 18.30cms on left side.


Keywords

Internal Thoracic Artery, Internal Mammary Artery, CABG (Coronary Arterial Bypass Graft)
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  • Deseler EH, Anson BJ. Surgical anatomy of the subclavian artery and its branches. Surg. Gynecol. Obstet 1959; 108: 149-174.

  • Krittredge RD, Kemp HG. Use of internal mammary artery in coronary arterial bypass graft surgery. Am. J. Roentol 1977 March; 128(3): 395-401.

  • Ownes WA, Glandstone DJ, Heylings DJ. Relation of internal thoracic artery with Phrenic nerve. Ann Thoracic Surgery: 1994 (Sept); 58(3); 843-844.

  • Park MC, Lee JH, Chung J, Lee SH. Use of internal mammary vessel perforator as a recipient vessel for TRAM breast reconstruction. Ann Plast Surg: 2003 (Feb); 50(2): 132-137.

  • Standring S. Grays Anatomy: Anatomical basis of clinical practice. Chest Wall: 39th edition. Elsevier Churchil Livingstone, Edinburgh. 2005; pp: 964-965.

  • Romanes GJ. Cunningham's manual of practical anatomy. The walls of thorax: vol: 2; 15th edition: oxford university press. 2009: pp: 11-16.


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  • A Study of Variations in Origin, Length, Course and Termination of Internal Thoracic Artery

Abstract Views: 247  |  PDF Views: 0

Authors

K. G. Prakash
Dept of Anatomy, AIMS & RC, Meeyyannoor, Kollam dist, Kerala, India
K. R. Rajkumar
Dept of Anatomy, SSIMS & RC, Davangere, Karnataka, India
B. J. Vijayakumar
Dept of Forensic Medicine, SSIMS & RC, Davangere, Karnataka, India
N. Amrappa
Dept of Anatomy, BIMS, Belgaum, Karnataka, India

Abstract


Internal Thoracic Artery (ITA), also called as Internal Mammary Artery (IMA), arises from the inferior aspect of the first part of the subclavian artery, opposite to the origin of thyro-cervical trunk. It descends vertically 1cm away from the lateral border of the sternum and terminates in 6th intercostal space dividing into musculophrenic and superior epigastric arteries. As Internal Thoracic Artery is most commonly used as cardiac conduit (graft) to bypass occluded or nearly occluded coronary arterial segments in coronary arterial bypass graft (CABG) surgery, cardiac surgeons should know the possible variations pertaining to its origin, length, course, branches, termination and diameter at various intercostal spaces, to choose the level for bypass.

As per dissection procedure given in Cunningham's 15th edition vol-02, anterior thoracic cage was separated in 25 cadavers. Study on internal thoracic arteries carried out by painting arteries. In 84% the arteries were taking origin from I-part of Subclavian artery,10% from throcervical trunk, 4% from suprascapular and transverse cervical artery. 2% arising from suprascapular artery alone, in 88% it is getting terminated at 6th intercostals space, 10% in 5th intercostals space and 2% in 4th intercostals space and mean length 18 cms on right side, 18.30cms on left side.


Keywords


Internal Thoracic Artery, Internal Mammary Artery, CABG (Coronary Arterial Bypass Graft)

References