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Aortic Origins of the Celiac Trunk and Superior Mesenteric Artery

Aortic Origins of the Celiac Trunk and Superior Mesenteric Artery

Authors :
Mugurel Constantin Rusu
Adelina Maria Jianu
Bogdan Adrian Manta
Sorin Hostiuc
Source :
Diagnostics, Vol 11, Iss 6, p 1111 (2021)
Publication Year :
2021
Publisher :
MDPI AG, 2021.

Abstract

(1) Background. The vertebral level of origin (VLO) of the celiac trunk (CT) and superior mesenteric artery (SMA) has been scarcely investigated. (2) Method. This study used 107 computed tomography angiograms and an eleven type grading system to classify the VLO of the CT and SMA. Each of the T12–L2 vertebra were divided in three horizontal levels. The intervertebral discs were considered distinct levels. (3) Results. The VLO of the CT ranged from the upper third of the T12 vertebra to the lower third of the L1 vertebra. The VLO of the SMA ranged from the lower third of the T12 vertebra to the upper third of the L2 vertebra. There was a highly significant association between the VLO of the CT and SMA (Chi2 = 201, p < 0.001), usually respecting a “plus two” rule. The mean CT–SMA distance was 1.82 +/− 0.66 cm in males and 1.55 +/− 0.411 cm in females, the difference being statistically significant. The mean CT–SMA distance tended to decrease with increasing CT–SMA types, the differences being statistically significant. (4) Conclusions. These characteristics of CT and SMA origins and their relations should be known by surgeons, as they could impact operative management and should be evaluated on a case-by-case basis.

Details

Language :
English
ISSN :
11061111 and 20754418
Volume :
11
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.20047e1b940f49fce06277ac715fe
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics11061111