Surgical and Radiologic Anatomy

, Volume 10, Issue 4, pp 297–302

Clinical anatomy of the suprarenal arteries: a quantitative approach by aortography

  • R. Toni
  • S. Mosca
  • L. Favero
  • S. Ricci
  • R. Roversi
  • G. Toni
  • P. Vezzadini
Radiological Anatomy

Summary

The angiographic visualization, arterial origin and mean diameter per age group (20–40, 41–60 years) of the suprarenal arterial vessels have been quantitatively investigated by aortography in 100 patients without suprarenal disease. Visualization of the various arteries was achieved in a percentage substantially comparable to the anatomic data of the literature, though with lower detection of the superior suprarenal vessels. A variable site of origin was present particularly for the superior and middle suprarenal vessels compared to the inferior suprarenal arteries and possible embryological reasons and clinical implications are discussed. Statistically significant differences were found in the mean diameter of each arterial vessel in all the subjects examined, thus substantiating the concept of differential arterial supply to various portions of the gland. Age-related changes were demonstrated in the right middle suprarenal artery, suggesting a predominant role of this vessel in the physiological adaptation of the blood supply to the gland with increasing age.

Key words

Adrenal gland Suprarenal arteries Angiography 

Anatomie clinique des artères de la surrénale: approche quantitative par aortographie

Résumé

Une étude angiographique quantitative de l'origine et du diamètre moyen des artères de la surrénale a été réalisée à partir de 100 aortographies effectuées chez des sujets indemnes de lésions surrénaliennes, séparés en 2 tranches d'âge: 20–40 et 41–60 ans. La mise en évidence des différentes artères a été obtenue avec un pourcentage sensiblement comparable aux données de la littérature anatomique classique, en tenant compte cependant d'une visualisation moyenne des a. surrénales moyennes. Les variations d'origine concernent tout particulièrement les a. surrénales supérieures et moyennes, amenant à discuter les explications embryologiques et les implications cliniques de ces variations. Des différences statistiquement significatives du diamètre moyen de chaque artère ont été notées sur l'ensemble des sujets examinés confirmant le concept de territoires vasculaires d'origine diverse; des variations liées à l'âge ont été observées au niveau de l'a. surrénale moyenne, suggérant le rôle principal que jouerait ce vaisseau dans les adaptations physiologiques de la vascularisation de la glande surrénale au vieillissement.

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • R. Toni
    • 1
  • S. Mosca
    • 4
  • L. Favero
    • 4
  • S. Ricci
    • 2
  • R. Roversi
    • 2
  • G. Toni
    • 4
  • P. Vezzadini
    • 3
  1. 1.Istituto di Anatomia Umana NormaleUniversitá di ChietiItaly
  2. 2.RadiologiaUniversitá di BolognaItaly
  3. 3.Clinica Medica e GastroenterologiaUniversitá di BolognaItaly
  4. 4.Istituto di Anatomia Umana NormaleUniversitá di BolognaItaly

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