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Inferior phrenic arteries

From Wikipedia, the free encyclopedia
Blood vessels
Inferior phrenic arteries
Theabdominal aorta andits branches
(inferior phrenic arteries labeled at upper right)
Posteriorabdominal wall, after removal of theperitoneum, showingkidneys, suprarenal capsules, and great vessels
Details
SourceAbdominal aorta
BranchesSuperior suprarenal artery
VeinInferior phrenic vein
SuppliesThoracic diaphragm
Identifiers
Latinarteriae phrenicae inferiores
TA98A12.2.12.002
TA24206
FMA14734
Anatomical terminology

Theinferior phrenic artery is abilaterally paired artery of the abdominal cavity which represents the main source of arterial supply to the diaphragm. Each artery usually arises either from the coeliac trunk or the abdominal aorta, however, their origin is highly variable and the different sites of origin are different for the left artery and right artery. Thesuperior suprarenal artery is a branch of the inferior phrenic artery.

Structure

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Origin

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The inferior phrenic arteries vary considerably in their site of origin.[1] typically arise from either thecoeliac trunk or (the anterior aspect of[1])abdominal part of aorta (just superior to the coeliac trunk[1]); the two arteries arise either separately or as a common trunk.[2] The inferior phrenic arteries usually arise at the level corresponding to betweenT12 andL2vertebrae.[3]

The right inferior phrenic artery may less often arise from theright renal artery,left gastric artery,hepatic artery proper.[2]

The left inferior phrenic artery may less often arise from eitherrenal artery,left gastric artery, orhepatic artery proper.[2]

Course and relations

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The artery courses beneath the posterior portion of theparietal peritoneum.[4] Each artery passes superoanteriorly and laterally to reach[2][4] and cross thecrura of diaphragm,[4] passing close to the medial border of the ipsilateral suprarenal gland.[2]

Termination

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Each artery splits into a medial branch and a lateral branch near the posterior border of thecentral tendon of diaphragm.[2] Alternatively, it may terminate by trifurcating into an anterior, a middle, and a posterior branch.[4]

Left inferior phrenic artery

Theleft phrenic passes posterior theesophagus,[2] then anterior-ward upon the left side of theesophageal hiatus,[1] past the left side of theoesophageal hiatus.[2]

Right inferior phrenic artery

Theright phrenic passes posterior to theinferior vena cava. It passes past the right side of thecaval opening.[2]

Branches

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Distribution

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The inferior phrenic arteries are the main source of arterial supply to the diaphragm.[2]

Each of the smaller vessels give asuperior suprarenal artery to the ipsilateralsupradrenal gland. Thespleen and theliver also receive a few twigs from the left and right vessels respectively.[1]

References

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  1. ^abcdefgGray, Henry (1918).Gray's Anatomy (20th ed.). p. 612.
  2. ^abcdefghijStandring, Susan (2020).Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. p. 1042.ISBN 978-0-7020-7707-4.OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. ^Hiwatashi, Akio; Yoshida, Kisaku (September 2003)."The origin of right inferior phrenic artery on multidetector row helical CT".Clinical Imaging.27 (5):298–303.doi:10.1016/s0899-7071(02)00553-3.ISSN 0899-7071.PMID 12932678.
  4. ^abcd"inferior phrenic artery - Dictionnaire médical de l'Académie de Médecine".www.academie-medecine.fr. Retrieved2024-08-07.

External links

[edit]
Abdominal
aorta
Inferior phrenic
Celiac
Left gastric
Common hepatic
Splenic
Superior mesenteric
Suprarenal
Renal
Gonadal
Lumbar
Inferior mesenteric
Common iliac
Internal iliac
Posterior surface
Iliolumbar
Anterior surface
Superior vesical artery
Obturator
Middle rectal
Uterine
Inferior gluteal
Internal pudendal
External iliac
Median sacral
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