High Bifurcation of Brachial Artery With Acute Arterial Insufficiency: A Case Report

The upper extremity arterial system shows a large number of variations in the adult human body. Most of these variations occur in either the radial or ulnar artery; brachial artery variations are less common. Because the upper extremity is a frequent site of injury and various surgical and invasive procedures are performed in this region, it is of utmost importance to be aware of arterial variations. We report a case of a high bifurcation of the brachial artery presenting with acute ischemia secondary to an embolic event. The anomaly was identified, and the ischemia was successfully resolved with embolectomy.

[1]  Y. Choi,et al.  Upper Extremity Ischemia from Developmental Failure of Brachial Artery , 2005, Vascular and endovascular surgery.

[2]  D. Bergqvist,et al.  Arterial surgery of the upper extremity , 1981, World Journal of Surgery.

[3]  H. Çelik,et al.  Origin of the radial and ulnar arteries: variations in 81 arteriograms. , 2001, Morphologie : bulletin de l'Association des anatomistes.

[4]  A. Ciervo,et al.  Absence of the brachial artery: report of a rare human variation and review of upper extremity arterial anomalies. , 2001, Journal of vascular surgery.

[5]  S. Kadir,et al.  ARTERIOGRAPHIC STUDY OF VARIANT ARTERIAL ANATOMY OF THE UPPER EXTREMITY , 1989 .

[6]  S. Karlsson,et al.  Arterial Anatomy of the Upper Extremity , 1982, Acta radiologica: diagnosis.

[7]  R. Welling,et al.  Obliterative arterial disease of the upper extremity. , 1981, Archives of surgery.

[8]  B. Anson,et al.  Brachial and antebrachial arterial patterns; a study of 750 extremities. , 1953, Surgery, gynecology & obstetrics.