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Czasopismo

2011 | 70 | 1 |

Tytuł artykułu

Variant origin of superior polar artery and unusual hilar branching pattern of renal artery with clinical correlation

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Classically, a single renal artery arising from the abdominal aorta supplies the respective kidney on each side. Near the hilum of the kidney each renal artery divides into anterior and posterior branchs, which in turn divide into segmental arteries supplying the different renal segments. A total of 84 formalin fixed cadavers (73 male and 11 female, 168 kidneys in total) constituted the material for the study. During routine abdominal dissection conducted for medical undergraduates, the kidneys and their arteries were explored and variations in morphological patterns of renal arteries were noted. We observed superior polar renal artery in 22.6% cases. Superior polar renal arteries had different sources of origin. In 10.7% of cases it came directly from the abdominal aorta as an accessory renal artery; in 5.4% of cases as a direct branch from the main renal artery; in 3.6% of cases from the superior hilar renal artery (from one of the duplicated renal arteries); and in 3.0% of cases from a segmental branch of the renal artery. We also observed unusual hilar branching patterns of renal arteries, which included a fork pattern in 11.3% of cases, ladder pattern in 7.7% of cases, net pattern in 5.9% of cases, and triplicate in 3.0% of cases. Understanding the anatomy of vascular variations of the kidney is essential for the clinician to be able to perform procedures such as renal transplantation, interventional radiological procedures, and renal vascular operations more safely and efficiently. (Folia Morphol 2011; 70, 1: 24–28)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

70

Numer

1

Opis fizyczny

p.24-28,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Subharti Medical College Meerut (U.P.), India
autor
  • Department of Anatomy, Subharti Medical College, India
  • Department of Anatomy, Subharti Medical College, India

Bibliografia

  • 1. Andersson I, Boijsen E, Hellsten S, Linell F (1979) Lesions of the dorsal renal artery in surgery for renal pelvic calculus, A potential cause of renovascular hypertension. Eur Urol, 5: 343–346.
  • 2. Bakheit MA, Motabagani MA (2003) Anomalies of the renal, phrenic and suprarenal arteries: case report. East Afr Med J, 80: 497–500.
  • 3. Bergman RA, Afifi AK, Miyauchi R (2010) Illustrated encyclopedia of human anatomic variations. Opus II: cardiovascular system, Arteries, Abdomen, Renal arteries. http//www.anatomyatlases.org/Anatomicvariants/cardiovascular/Text/Arteries/Renal.
  • 4. Beyer RW, Daily PO (2004) Renal artery dissection associated with GZ acceleration. Aviat Space Environ Med, 75: 284–287.
  • 5. Bordei P, Sapte E, Iliescu D (2004) Double renal arteries originating from the aorta. Surg Radiol Anat, 26: 474–479.
  • 6. Brannen GE, Bush WH, Correa RJ, Gibbons RP, Cumes DM (1982) Microvascular management of multiple renal arteries in transplantation, J Urol, 128: 112–115.
  • 7. Cicekcibasi AE, Ziylan T, Salbacak A, Seker M, Buyukmumcu M, Tuncer I (2005) An investigation of the origin, location and variations of the renal arteries in human fetuses and their clinical relevance. Ann Anat, 187: 421–427.
  • 8. Das S (2008) Anomalous renal arteries and its clinical implications. Bratisl Lek Listy, 109: 182–184.
  • 9. Dhar P, Lal K (2005) Main and accessory renal arteries — a morphological study. Ital J Anat Embryol, 110: 101–110.
  • 10. Gupta V, Kotgirwar S, Trivedi S, Deopujari R, Singh V (2010) Bilateral variation in renal vasculature. International journal of anatomical variations. IJAV, 3: 53–55.
  • 11. Hamilton WJ, Mossman HW (1979) In: Human embryology. 4th Ed. Mc Millan Press, New York, pp. 392.
  • 12. Harrison LH, Flye MW, Seigler HF (1978) Incidence of anatomical variants in renal vasculature in the presence of normal renal function. Ann Surg, 188: 83–89.
  • 13. Kadolani Y, Okamoto M, Nobori S, Kaibara S (2005) Management and outcome of living kidney grafts with multiple arteries. Surg Today, 35: 459–466.
  • 14. Krishnasamy N, Rao M, Somayaji SN, Koshy S, Rodrigues V (2010) An unusual case of unilateral additional right renal artery and vein. Intern J Anat Variation, 3: 9–11.
  • 15. Kunwabara M, Narumi Y, Takahashi S, Sato Y, Kim T, Murakami T, Nakamura H (2006) Non calculating the relative blood supply ratio of duplicated renal arteries in renal donors, Radiat Med, 24: 195–201.
  • 16. Nathan H, Glezer L (1984) Right and left accessory renal arteries arising from a common trunk associated with unrotated kidneys. J Urol, 132: 7–9.
  • 17. Nayak BS (2008) Multiple variations of the right renal vessels. Singapore Med J, 49: e153–e155.
  • 18. Olsson O, Wholey M (1964) Vascular abnormalities in gross anomalies of kidneys. Acta Radiol Diagn, 2: 420–432.
  • 19. Raman SS, Poj CS, Munagsombook K, Schulam PG, Gntsch HA, Lu DS (2007) Surgically relevant normal and variant renal parenchymal vascular anatomy in preoperative 16-MDCT evaluation of potential laproscopic renal donors. Am J Roentgenol, 188: 105–114.
  • 20. Rao M, Bhat SM, Venkataramana V, Deepthinath R, Bolla SR (2006) Bilateral prehilar multiple branching of renal arteries: A case report and literature review. Kathmandu Univer Med J, 4: 345–348.
  • 21. Rusu MC (2006) Human bilateral doubled renal and testicular arteries with a left testicular arterial arch around the left renal vein. Rom J Morphol Embryol, 47: 197–200.
  • 22. Saldarriaga B, Pinto SA, Ballesteros LE (2008) Morphological expression of the renal artery. A direct Anatomical study in a Colombian half-caste population. Int J Morphol, 26: 31–38.
  • 23. Sampaio FJ, Passos MA (1992) Renal arteries: anatomic study for surgical and radiological practice. Surg Radiol Anat, 4: 113–117.
  • 24. Sanson JR, Hall JR, Barnes AD, Robinson BH, Blainey JD (1978) The significance of vascular anomalies in human renal transplantation. Proc Eur Dial Transplant Assoc, 15: 345–351.
  • 25. Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM (2001) Additional renal arteries: incidence and morphometry. Surg Radiol Anat, 23: 33–38.
  • 26. ShakeriAB, Tubbs RS, Shoja MM, Pezeshk P, Farahani RM, Khaki AA, Ezzati F, Seyednejad F (2007) Bipolar supernumerary renal artery. Surg Radiol Anat, 29: 89–92.
  • 27. Shoja MM, Tubbs RS, Shakeri A, Loukos M, Ardalan MR, Khosroshahi HT, Oakes WJ (2008) Perihilar branching patterns and morphologies of renal artery: a review and anatomical study. Surg Radiol Anat, 30: 375–382.
  • 28. Singh G, Ng YK, Bay BH (2001) Bilateral accessory renal arteries associated with some anomalies of the ovarian arteries: a case study. Clin Anat, 11: 417–420.
  • 29. Standring S (2005) Gray’s anatomy The anatomical basis of clinical practice. 39th Ed. Elseiver-Churchill Livingstone Publishers, London, pp. 1274–1275.
  • 30. Weld KJ, Bhayani SB, Belani J, Ames CD, Hruby G, Landman J (2005) Extrarenal vascular anatomy of kidney: assessment of variations and their relevance to partial nephrectomy. Urology, 66: 985–989.

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Typ dokumentu

Bibliografia

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