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In human anatomy , the superior epigastric artery is a terminal[1] branch of the internal thoracic artery that provides arterial supply to the abdominal wall , and upper rectus abdominis muscle . It enters the rectus sheath to descend upon the inner surface of the rectus abdominis muscle . It ends by anastomosing with the inferior epigastric artery .
Structure [ edit ]
The superior epigastric artery arises from the internal thoracic artery (referred to as the internal mammary artery in the accompanying diagram).[2] [3]
Course and relations [ edit ]
The superior epigastric artery pierces the diaphragm [1] to enter the rectus sheath and descend upon the deep surface of the rectus abdominis .[4]
Along its course, it is accompanied by a similarly named vein , the superior epigastric vein .[citation needed ]
Anastomoses [ edit ]
It anastomoses with the inferior epigastric artery [4] [2] within the rectus abdominis muscle[4] [1] at the umbilicus .[2]
Distribution [ edit ]
Where it anastomoses, the superior epigastric artery supplies the anterior part of the abdominal wall,[5] [6] upper rectus abdominis muscle,[5] and some of the diaphragm .[citation needed ]
Collateralization in disease [ edit ]
Vascular disease [ edit ]
The superior epigastric arteries, inferior epigastric arteries , internal thoracic arteries and left subclavian artery and right subclavian artery / brachiocephalic are collateral vessels to the thoracic aorta and abdominal aorta . If the abdominal aorta develops a significant stenosis and/or blockage (as may be caused by atherosclerosis ), this collateral pathway may develop sufficiently, over time, to supply blood to the lower limbs .[7]
Coarctation of the aorta [ edit ]
A congenitally narrowed aorta, due to coarctation , is often associated with a significant enlargement of the internal thoracic and epigastric arteries.[8]
See also [ edit ]
References [ edit ]
^ a b c Castro Ferreira, Marcus; Henrique Ishida, Luis; Munhoz, Alexandre (January 1, 2009), Wei, Fu-Chan; Mardini, Samir (eds.), "CHAPTER 19 - Rectus flap" , Flaps and Reconstructive Surgery , Edinburgh: W.B. Saunders, pp. 207–223, doi :10.1016/b978-0-7216-0519-7.00019-8 , ISBN 978-0-7216-0519-7 , retrieved November 22, 2020
^ Ahmed, Abdul (January 1, 2017), Brennan, Peter A.; Schliephake, Henning; Ghali, G. E.; Cascarini, Luke (eds.), "37 - Common Free Vascularized Flaps: The Rectus Abdominis" , Maxillofacial Surgery (Third Edition) , Churchill Livingstone, pp. 533–542, doi :10.1016/b978-0-7020-6056-4.00038-1 , ISBN 978-0-7020-6056-4 , retrieved November 22, 2020
^ a b c The Big Picture: Gross Anatomy, Medical Course & Step 1 Review . David A. Morton, K. Bo Foreman, Kurt H. Albertine (2nd ed.). New York. 2018. ISBN 978-1-259-86264-9 . OCLC 1044772257 .{{cite book }}
: CS1 maint: location missing publisher (link ) CS1 maint: others (link )
^ a b Shell, Dan H.; Vásconez, Luis O.; de la Torre, Jorge I.; Chin, Gloria; Weinzweig, Norman (January 1, 2010), Weinzweig, Jeffrey (ed.), "Chapter 91 - Abdominal Wall Reconstruction" , Plastic Surgery Secrets Plus (Second Edition) , Philadelphia: Mosby, pp. 594–604, doi :10.1016/b978-0-323-03470-8.00091-0 , ISBN 978-0-323-03470-8 , retrieved November 22, 2020
^ DiEdwardo, Christine A.; Caterson, Stephanie A.; Barrall, David T. (January 1, 2010), Weinzweig, Jeffrey (ed.), "Chapter 80 - Abdominoplasty" , Plastic Surgery Secrets Plus (Second Edition) , Philadelphia: Mosby, pp. 532–537, doi :10.1016/b978-0-323-03470-8.00080-6 , ISBN 978-0-323-03470-8 , retrieved November 22, 2020
^ Yurdakul M, Tola M, Ozdemir E, Bayazit M, Cumhur T (April 2006). "Internal thoracic artery-inferior epigastric artery as a collateral pathway in aortoiliac occlusive disease" . J. Vasc. Surg . 43 (4 ): 707–13. doi :10.1016/j.jvs.2005.12.042 . PMID 16616225 .
^ Huhmann W, Kunitsch G, Dalichau H (1976). "[Coarctation of the aorta on the plain chest x-ray (author's transl)]". Dtsch Med Wochenschr . 101 (41 ): 1477–81. doi :10.1055/s-0028-1104294 . PMID 964150 . S2CID 260093972 .
External links [ edit ]
R e t r i e v e d f r o m " https://en.wikipedia.org/w/index.php?title=Superior_epigastric_artery&oldid=1222213740 "
C a t e g o r y :
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