Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 1/2018

01-01-2018 | Original Article

The right intercostobronchial trunk: anatomical study in respect of posterior intercostal artery origin and its clinical application

Authors: Lidija Kocbek, Mateja Rakuša

Published in: Surgical and Radiologic Anatomy | Issue 1/2018

Login to get access

Abstract

Purpose

The right bronchial artery usually arises from the descending thoracic aorta as a common trunk with the right intercostal artery and forms the right intercostobronchial trunk. Both, the third right posterior intercostal artery and the right intercostobronchial trunk, are described as the most constant vessels. The focus of the study was to determine the characteristics of the right intercostobronchial trunk regarding the origins of the posterior intercostal arteries from the thoracic aorta.

Methods

Posterior intercostal arteries and the right bronchial arteries were dissected in 43 human cadavers, preserved after Thiel’s embalming method with intraarterial infusion of red colored latex.

Results

Postmortem examination gave valued information on the right intercostobronchial trunk present in 58% of cases. The right intercostobronchial trunk was mapped and new classification regarding the origin of the posterior intercostal arteries from the thoracic aorta suggested type A, B and C, the latter ones into subtypes 1 and 2. Type A was proportional to the origin level of the PIA and its corresponding intercostal space. Size of outer diameter at the origin did not indicate the right bronchial artery branch. In subtype 2 of type B the proximal posterior intercostal artery diameter that gave off right bronchial artery was thicker than distal one.

Conclusions

The right bronchial artery originates from the second to the fifth posterior intercostal artery forming the right intercostobronchial trunk. Various origin and types of origin, diameter and course of the right intercostobronchial trunk described and analyzed in the study offer valuable information on the procedures involving the right intercostobronchial trunk.
Literature
1.
Akgun V, Battal B, Sari S (2014) Bronchial arteries: normal anatomy, variation and radiologic evaluation. Surg Radiol Anat 36:103–104CrossRefPubMed
2.
Battal B, Akgun V, Karaman B, Bozlar U, Tasar M (2011) Normal anatomical features and variations of bronchial arteries: an analysis with 64-detector-row computed tomographic angiography. J Comput Assist Tomogr 35:253–259CrossRefPubMed
3.
Carles J, Clerc F, Dubrez J, Couraud L, Drouillard J, Videau J (1995) The bronchial arteries: anatomic study and application to lung transplantation. Surg Radiol Anat 17:293–299CrossRefPubMed
4.
Cauldwell EW, Siekert RG, Lininger RE, Anson BJ (1948) The bronchial arteries: an anatomic study of 150 human cadavers. Surg Gynecol Obstet 86:395–412PubMed
5.
Chabier S, Husson B, Lasjaunias P, Landrieu P, Tardieu M (2000) Stroke in childhood: outcome and recurrence risk by mechanism in 59 patients. J Child Neurol 15:290–294CrossRef
6.
Couraud L, Baudet E, Nashef SA, Martigne C, Roques X, Velly JF, Laborde N, Dubrez J, Clerc F (1992) Lung transplantation with bronchial revascularisation: surgical anatomy, operative technique and early results. Eur J Cardiothorac Surg 6:490–495CrossRefPubMed
7.
Fadel E, Wijtenburg E, Michael R, Mazoit JX, Bernatchez R, Decante B, Sage E, Mazmanian M, Herve P (2006) Regression of the systemic vasculature to the lung after removal of pulmonary artery obstruction. Am J Respir Crit Care Med 173:345–349CrossRefPubMed
8.
Funami Y, Okuyama K, Shimada Y, Isono K (1996) Anatomic study of the bronchial arteries with special reference to their preservation during the radical dissection of the upper mediastinum lymph nodes. Surgery 119:67–75CrossRefPubMed
9.
Hartmann IJ, Remy-Jardin M, Menchini L, Teisseire A, Khalil C, Remy J (2007) Ectopic origin of bronchial arteries: assessment with multidetector helical angiography. Eur Radiol 17:1943–1953CrossRefPubMed
10.
Kahn P, Paul R, Rheinlander H (1965) Selective bronchial arteriography and intraarterial chemotherapy in carcinoma of the lung. J Thorac Cardiovasc Surg 50:640–647PubMed
11.
Kowalski T, Guidotti S, Deffebach ME, Kubilis P, Bishop M (1990) Bronchial circulation in pulmonary artery occlusion and reperfusion. J Appl Physiol 68:133–140CrossRef
12.
Liebow AA (1965) Patterns of origin and distribution of the major bronchial arteries in man. Am J Anat 117:19–32CrossRefPubMed
13.
Lim LH, Bochner BS, Wagner EM (2002) Leucocyte recruitment in the airways: an intravital microscopic study of rat tracheal microcirculation. Am J Physiol Lung Cell Mol Physiol 282:L959–L967
14.
Lippert H, Pabst R (1985) Arterial variation in man. Classification and frequency. J.F. Bergmann Verlag, MunichCrossRef
15.
16.
Nathan H, Barkay M, Orda R (1970) Anatomical observation on the origin and course of the aortic intercostal arteries. J Thorac Cardiovasc Surg 59:372–375PubMed
17.
18.
Nicolls MR, Zamora MR (2010) Bronchial blood supply after lung transplantation without bronchial artery revascularisation. Curr Opin Organ Transplant 15:563–567CrossRefPubMedPubMedCentral
19.
Osiro S, Wear C, Hudson R, Ma XX, Zurada A, Michalak M, Loukas M (2012) A friend to the airways: a review of the emerging clinical importance of the bronchial arterial circulation. Surg Radiol Anat 34:791–798CrossRefPubMed
20.
Schreinemakers HH, Weder W, Miyoshi S, Harper BD, Shimokawa S, Egan TM, McKnight R, Cooper JD (1990) Direct revascularization of bronchial arteries for lung transplantation: an anatomical study. Ann Thorac Surg 49:44–54CrossRefPubMed
21.
Subotich D, Mandarich D, Milisavljevich M, Filipovich B, Nikolich V (2009) Variations of pulmonary vessels: some practical implications for lung resection. Clin Anat 22:698–705CrossRefPubMed
22.
23.
Uflacker R, Kaemmerer A, Picon PD, Rizzon CF, Nevers CM, Oliveira ES, Oliveira ME, Azevedo SN, Ossanai R (1985) Bronchial artery embolization in the management of hemoptysis: technical aspects and long-term results. Radiology 157:637–644CrossRefPubMed
24.
Wagner EM, Foster WM (1996) Importance of airway blood flow on particle clearance from the lung. J Appl Physiol 81:1878–1883CrossRefPubMed
25.
26.
Walker CM, Rosado-de-Christenson ML, Martínez-Jiménez S, Kunin JR, Wible BC (2015) Bronchial arteries: anatomy, function, hypertrophy, and anomalies. Radiographics 35(1):32–49CrossRefPubMed
27.
Williams PL, Warwick R (1980) Gray’s anatomy, 36th edn. Churchill Livingstone, Edinburgh
28.
Yener Ö, Türkavan A, Yüce G, Yener AÜ (2015) The normal anatomy and variations of the bronchial arteries: evaluation with multidetector computed tomography. Can Assoc Radiol J 66:44–52CrossRefPubMed
29.
Yoon W, Kim JK, Kim YH, Chung TW, Kang HK (2002) Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics 22:1395–1409CrossRefPubMed
Metadata
Title
The right intercostobronchial trunk: anatomical study in respect of posterior intercostal artery origin and its clinical application
Authors
Lidija Kocbek
Mateja Rakuša
Publication date
01-01-2018
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 1/2018
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-017-1943-7

Other articles of this Issue 1/2018

Surgical and Radiologic Anatomy 1/2018 Go to the issue

Original Article

Anatomy of the cutaneous lymphatic system of the trunk: a clinico-anatomical study of 90 cutaneous melanomas

Original Article

Anatomical topography of the inferior lumbar triangle for transversus abdominis block

Review

Markus K. Heinemann: How NOT to write a medical paper: a practical guide

Original Article

An applied anatomical study of bronchial artery

Anatomic Variations

A median sacral artery anterior to the iliocaval junction: a case report—anatomical considerations and clinical relevance for spine surgery

Review

Anatomic variations of the spleen: current state of terminology, classification, and embryological background