[Internal thoracic vessels: importance in microsurgery]

Bulletin De L'Association Des Anatomistes
|September 1, 1980
PubMed

Insights

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.

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.