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.
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.
Similar content being viewed by others
References
Abrams RM (1983) Angiography, III ed. Little, Brown and Co, Boston
Adachi B (1928) Das Arteriensystem der Japaner, vol II. Kenkyusha, Tokyo
Anson BJ, Cauldwell EW, Pick JW, Beaton LE (1947) The blood supply of the kidney, suprarenal gland and associated structures. Surg Gynecol Obstet 84: 313–320
Bardellino F, Rossotto P, Pasquero PM, Massa G (1958) Studio radiologico della vascolarizzazione arteriosa surrenalica. Minerva Chir 13: 424–430
Bleicher M (1930) Les pédicules vasculaires des glandes de l'homme. Rev Fr Endocrinol 8: 385–397
Broman E (1908) Über die Entwicklung und “Wanderung” der Zweige der aorta abdominalis beim Menschen nebst Bemerkungen über Gefässwurzelwanderungen im Allgemeinen. Anat Heft 36: 405–550
Busch W (1954) Die arterielle Gefässversorgung der Nebennieren. Virchows Arch [A] 324: 688–699
Cardella JF, Castaneda-Zuniga WR, Hunter D, Young A, Amplatz K (1986) Angiographic and interventional radiologic considerations in liver transplantation. AJR 146: 143–153
Diard FMM, Levot J, Tavernier J (1972) L'artériographie surrénalienne. Bord Med 12: 1435–1447
Fink IJ, Girton M, Doppman JL (1985) Absolute ethanol injection of the adrenal artery: hypertensive reaction. Radiology 154: 357–358
Gagnon R (1957) The arterial supply of the adrenal gland. Rev Can Biol 16: 421–433
Gagnon R (1964) Middle suprarenal arteries in man: a statistical study of 200 human adrenal glands. Rev Can Biol 23: 461–467
Gérard G (1913) Contribution à l'étude morphologique des artères des capsules surrénales de l'homme. J Anat Physiol 49: 269–303
Hureau J, Hidden G, Ta Thanh-Minh A (1979) Vascularisation des glandes surrénales. Anat Clin 2: 127–136
Kahn PC (1967a) Selective angiography of the inferior phrenic arteries. Radiology 88: 1–8
Kahn PC, Nickrosz LV (1967b) Selective angiography of the adrenal glands. Am J Roentgenol 101: 739–749
Lamarque JL, Jaspart W, Delylle A, Senac JP (1973) Radioanatomie angiographique des surrénales, Ann Radiol (Paris) 16: 549–563
Le Guyader A, Delteil C (1969a) Les artères rénales du nouveau-né ivoirien. Lab Anat Chir, CHU Abidjan
Le Guyader A, Delteil C, Bouscher J, Laigo M (1969b) Etudes des collatérales viscérales de l'aorte abdominale du nouveau-né africain. Lab Anat Chir, CHU Abidjan
Levi G (1909) Le variazioni delle arterie surrenali e renali studiate col metodo statistico seriale. Arch Ital Anat Embriol 8: 35–71
Luna E (1909) Sulla classificazione delle arterie surrenali. Mon Zool Ital 20: 290–295
Merklin RJ, Michels NA (1958) The variant renal and suprarenal blood supply with data on the inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of literature. J Int Coll Surg 29: 41–76
Nomina Anatomica (1980) 5th ed. Williams and Wilkins, Baltimore London
Pick JW, Anson BJ (1940) Inferior phrenic artery: origin and suprarenal branches. Anat Rec 78: 413–427
Rossi P, Passariello R, Simonetti G, Rovighi L, Crecco M (1979) Arterious and venous systems of the adrenal glands: anatomical considerations. Ann Radiol 22: 372–377
Steel RGD (1960) Prnciples and procedures of statistics. McGraw-Hill, New York
Toni R, Bolondi L, Gaiani S, Casanova P, Mosca S, Favero L, Vezzadini P (1985) Proposta di metodo per lo studio anatomoecografico della vascolarizzazione surrenale e renale sull'organo isolato. Abstract delle I Giornate Internazionali di Ultrasonologia. Roma, USMED 3: 71
Toni R, Mosca S, Favero L, Ricci S, Roversi R, Cocco L, Vezzadini P, Toni G (1987) Anatomo-clinical observations on some morphologic parameters of the adrenal arteries and age-related changes of their diameter studied by angiography. Abstract on the 8th European Anatomical Congress. Antwerp, September 6–12. Acta Anat 130: 92
Toni R, Favero L, Mosca S, Ricci S, Roversi R, Vezzadini P (1988) Quantitative clinical anatomy of the pancreatic arteries studied by selective celiac angiography. Surg Radiol Anat 10: 1
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Toni, R., Mosca, S., Favero, L. et al. Clinical anatomy of the suprarenal arteries: a quantitative approach by aortography. Surg Radiol Anat 10, 297–302 (1988). https://doi.org/10.1007/BF02107902
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02107902