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Thyroidea ima artery multiple branching pattern over the trachea.

T Totlis1, K Natsis2, V Achlatis2

  • 1Department of Anatomy and Surgical Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. totlis@auth.gr.

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PubMed
Summary
This summary is machine-generated.

A rare variant of the thyroidea ima artery (TIA) with multiple branches was found near the trachea in a cadaver. This anatomical variation poses a significant bleeding risk during neck surgeries like tracheotomy.

Keywords:
BranchOriginThyroid glandThyroidea ima arteryVariation

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Area of Science:

  • Anatomy
  • Vascular Anatomy
  • Surgical Anatomy

Background:

  • The thyroidea ima artery (TIA), also known as the artery of Zuckerkandl, is an anatomical variant supplying the thyroid gland.
  • Variations in the TIA's origin and branching pattern are uncommon but clinically significant.

Observation:

  • A cadaver dissection revealed a rare thyroidea ima artery (TIA) originating from the brachiocephalic artery.
  • This TIA exhibited an unusual multiple branching pattern, with three anterior and two posterior branches distributed over the trachea.
  • The TIA coexisted with a brachiocephalico-carotid trunk, a fusion of the left common carotid artery and brachiocephalic artery.

Findings:

  • The anterior branches of the TIA supplied the infrahyoid muscles.
  • The posterior branches supplied the inferior lobes of the thyroid gland and inferior parathyroid glands.
  • All observed branches were located anterior and to the right of the trachea.

Implications:

  • The presence of multiple arterial branches anterior to the trachea presents a considerable risk of excessive hemorrhage during procedures such as tracheotomy or cricothyroidotomy.
  • Awareness of this anatomical variant is crucial for surgeons performing neck surgery to prevent intraoperative complications.