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[Internal thoracic vessels: importance in microsurgery]

M A Germain, V Delmas, J Hureau

    Bulletin De L'Association Des Anatomistes
    |September 1, 1980
    PubMed
    Summary
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    This study precisely mapped the internal thoracic vessels in 70 cadavers, finding consistent anatomy in the second intercostal space crucial for esophageal revascularization procedures.

    Area of Science:

    • Anatomy
    • Vascular Surgery
    • Thoracic Surgery

    Context:

    • Detailed anatomical studies of the internal thoracic vessels are essential for reconstructive surgery.
    • Variability in the origin and termination of these vessels necessitates precise mapping for surgical planning.

    Purpose:

    • To precisely describe the morphometry and symmetry of the internal thoracic arteries and veins.
    • To identify consistent anatomical landmarks for surgical applications.

    Summary:

    • Seventy adult cadavers were dissected to skeletonize and analyze the internal thoracic vessels.
    • Measurements of origin, caliber, length, and termination were statistically analyzed.
    • High constancy was observed in the second intercostal space, confirmed by angiography.

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    Impact:

    • Provides critical anatomical data for thoracic and vascular surgeons.
    • Establishes the anatomical basis for using internal thoracic vessels in esophageal revascularization and free jejunal grafts.
    • Enhances surgical planning for complex reconstructive procedures in the upper thorax.