CC BY-NC-ND 4.0 · Indian J Plast Surg 2014; 47(01): 124-126
DOI: 10.4103/0970-0358.129643
Case Report
Association of Plastic Surgeons of India

Anomalous superficial ulnar artery based flap

C. V. Ramani
Department of Plastic and Reconstructive Surgery, Parel, Mumbai, Maharashtra, India
,
Girish K. Kundagulwar
1   Department of Surgical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
,
Jaiswal Dushyanth
Department of Plastic and Reconstructive Surgery, Parel, Mumbai, Maharashtra, India
,
Yadav S. Prabha
Department of Plastic and Reconstructive Surgery, Parel, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Address for correspondence:

Dr. C. V. Ramani
Room No. 709, Golden Jublee Block, Tata Memorial Centre, Dr. E Borges Road, Parel, Mumbai - 400 012 Maharashtra
India   

Publication History

Publication Date:
26 August 2019 (online)

 

ABSTRACT

Upper limb shows a large number of arterial variations. This case report describes the presence of additional superficial ulnar artery which was used to raise a pedicle flap to cover an arm defect thus avoided using the main vessel of the forearm - radial or ulnar artery. Vascular anomalies occurring in the arm and forearm tend to increase the likelihood of damaging the superficial anomalous arteries during surgery. Superficial ulnar or radial arteries have been described to originate from the upper third of the brachial artery; here we report the origin of the anomalous superficial ulnar artery originating from the brachial artery at the level of elbow with the concomitant presence of normal deep radial and ulnar arteries.


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Conflicts of interest

None declared.

  • REFERENCES

  • 1 Singer E. Embryological pattern persisting in the arteries of the arm. Anat Rec 1933; 55: 403-9
  • 2 Rodriguez-Niedenfuhr M, Vazquez T, Parkin IG, Sanudo JR. Arterial patterns of the human upper limb: Update of anatomical variations and embryological development. Eur J Anat 2003; 7: 21-8
  • 3 Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR. et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 1995; 187: 473-9
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  • 5 Rodríguez-Niedenführ M, Burton GJ, Deu J, Sañudo JR. Development of the arterial pattern in the upper limb of staged human embryos: Normal development and anatomic variations. J Anat 2001; 199: 407-17
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  • 7 Fadel RA, Amonoo-Kuofi HS. The superficial ulnar artery: Development and surgical significance. Clin Anat 1996; 9: 128-32
  • 8 Yuksel M, Yuksel E, Weinfeld AB, Shenaq SM. Superficial ulnar artery: Embryology, case report, and clinical significance in reconstructive microsurgery. J Reconstr Microsurg 1999; 15: 415-20
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Address for correspondence:

Dr. C. V. Ramani
Room No. 709, Golden Jublee Block, Tata Memorial Centre, Dr. E Borges Road, Parel, Mumbai - 400 012 Maharashtra
India   

  • REFERENCES

  • 1 Singer E. Embryological pattern persisting in the arteries of the arm. Anat Rec 1933; 55: 403-9
  • 2 Rodriguez-Niedenfuhr M, Vazquez T, Parkin IG, Sanudo JR. Arterial patterns of the human upper limb: Update of anatomical variations and embryological development. Eur J Anat 2003; 7: 21-8
  • 3 Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR. et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 1995; 187: 473-9
  • 4 Ramanathan L, Nayak SR, Vinay KV, Krishnamurthy A, Prabhu LV. Co-existence of superficial brachio-ulno-radial arterial pattern and persistent median artery. Indian J Plast Surg 2009; 42: 112-4
  • 5 Rodríguez-Niedenführ M, Burton GJ, Deu J, Sañudo JR. Development of the arterial pattern in the upper limb of staged human embryos: Normal development and anatomic variations. J Anat 2001; 199: 407-17
  • 6 Devansh. Superficial ulnar artery flap. Plast Reconstr Surg 1996; 97: 420-6
  • 7 Fadel RA, Amonoo-Kuofi HS. The superficial ulnar artery: Development and surgical significance. Clin Anat 1996; 9: 128-32
  • 8 Yuksel M, Yuksel E, Weinfeld AB, Shenaq SM. Superficial ulnar artery: Embryology, case report, and clinical significance in reconstructive microsurgery. J Reconstr Microsurg 1999; 15: 415-20
  • 9 Fatah MF, Nancarrow JD, Murray DS. Raising the radial artery forearm flap: The superficial ulnar artery "trap". Br J PLast Surg 1985; 38: 394-5