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Folia Morphologica
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2005
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tom 64
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nr 4
315-320
Knowledge of the diameters of the crural arteries forms the basis for reconstructive vascular surgery and percutaneous angioplasty. The external diameters of the crural arteries were examined in 152 specimens of lower limbs by anatomical, digital and statistical methods. The diameters of all the crural arteries were significantly greater (p ≤ 0.01) in the male subjects. The differences between the right and left arterial diameters were statistically significant (p ≤ 0.01) only in relation to the posterior tibial artery. In subtypes IC and IIB the anterior tibial artery was the strongest, the peroneal artery was of intermediate diameter and the posterior tibial artery was the weakest. In subtype IB the anterior tibial artery presented as the predominant vessel but in subtypes IIA-1 and IIA-2 it was the posterior tibial artery that did so. In subtype IA 24 examples of the coexistence of angiometric variants of the crural arteries were distinguished. It was demonstrated that the strongest vessel was the anterior tibial artery (32.24%), rarely the posterior tibial artery (14.47%) or the peroneal artery (9.87%). In most cases (21.71%) three of the crural arteries had intermediate diameters. In 13.16% of cases there were two arteries of intermediate diameter, the posterior tibial and the peroneal, which accompanied a strong anterior tibial artery and, the least common variant (6.58%), two intermediate tibial arteries with a weak peroneal artery. A hyperplastic peroneal artery (6.59%) compensated for either the anterior tibial artery (1.98%) or the posterior tibial artery (4.61%).
The rate of growth of the pulmonary trunk during gestation has not been sufficiently determined. The present study was performed on 128 spontaneously aborted human foetuses aged 15–34 weeks in order to compile normative data for pulmonary trunk dimensions at various gestational ages. With the use of anatomical dissection, digital-image analysis (the Leica QWin Pro 16 system) and statistical analysis (ANOVA, regression analysis) a range of measurements (length, diameter and volume) was analysed for the pulmonary trunk during gestation. No significant gender differences were found (p > 0.05). Growth curves were generated of the best fit for the plot for each morphometric feature against gestational age. The results obtained show a statistically significant correlation (p < 0.001) between the parameters examined and gestational age. Both the length and diameter of the pulmonary trunk were found to increase in a linear fashion throughout gestation. The length ranged from 3.17 ± 0.36 mm to 13.54 ± 1.39 mm, according to the linear function y = –5.6035 + 0.5705 x ± 0.9171 (r = 0.96). The diameter ranged from 1.51 ± 0.24 mm to 5.30 ± 1.53 mm, according to the linear model y = –1.4813 + 0.2154 x ± 0.7452 (r = 0.86). The pulmonary trunk volume ranged from 5.94 ± 2.21 mm³ to 312.37 ± 154.34 mm³, according to the quadratic function y = 143.2 – 20.961 x + 0.791 x2 ± 63.306 (R² = 0.74). The growth curves generated from my data may be useful as a reference for foetal echocardiographers in the detection of congenital cardiovascular abnormalities.
The present study was performed on 128 spontaneously aborted human foetuses aged 15–34 weeks in order to establish normal values for thoracic aorta dimensions at various gestational ages. Using anatomical dissection, digital-image analysis (the Leica QWin Pro 16 system) and statistical analysis (ANOVA, regression analysis) the growth of the length, the original and terminal external diameters and the volume of the thoracic aorta during gestation was examined. No significant gender differences were found (p > 0.05). The growth curves were generated of the best fit for the plot for each morphometric feature against gestational age. Both the length and external diameters of the thoracic aorta increased in proportion to the advance in foetal age. The length ranged from 12.49 ± 1.85 mm to 48.82 ± 6.31 mm according to the linear function y = –19.654 + 2.0512 x ± 3.5168. The original external diameter ranged from 1.25 ± 0.28 mm to 5.65 ± 0.48 mm according to the linear fashion y = –2.3834 + 0.2367 x ± 0.3850. The terminal external diameter ranged from 1.15 ± 0.26 mm to 5.18 ± 0.45 mm, in agreement with the linear model y = –2.1438 + 0.2156 x ± 0.3555 (r = 0.96, p < 0.001 for each feature). The volume of the thoracic aorta ranged from 15.75 ± 8.06 mm³ to 1158.01 ± 301.85 mm³ according to the quadratic function y = 1376.2 – 154.42 x + 4.419 x² ± 125.6 (R² = 0.90). The growth curves generated from my data may be useful as a reference for foetal echocardiographers, who must distinguish abnormal from normal foetal development.
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