R. W., an 82 year old man, presented with a painful weakness of the right upper limb following a fall over an armchair. Chest radiography showed "a right apical shadow" and a presumptive diagnosis of Pancoast's tumour was made. Both bronchoscopy and mediastinoscopy were normal. Two weeks later a repeated clinical examination revealed a mass in the right axilla (8 x 8 cm in diameter). The right ...

During routine cadaveric dissection, we encountered multiple muscular anomalies in a 58-year-old embalmed male cadaver. All the variations were encountered on the flexor compartment of right upper limb. The anomalies include an axillary arch (Aa) in the axilla, a third head of biceps brachii (Thb) in the arm, a reverse palmaris longus (Rpl) and a Gantzer's muscle (Gm) in the forearm and an unus...

Method We excluded from the study all patients who underwent emergent or urgent operation for acute aortic syndrome, any aortic surgery distal to innominate artery and patients who had other than innominate artery cannulation (aortic, subclavian/axillary, femoral). The final cohort was consisted of 81 patients who underwent elective ascending aorta replacement alone or with concomitant procedur...

An isolated neurovascular variation is common but multiple vascular anomalies on same upper limb is a very rare case. We observed an unusual variations in right upper limb during routine dissection of a Nepali cadaver. The variations were observed in Axilla, Forearm and Palm. In axilla, fi rst part of axillary artery did not give any branch, the second part of axillary artery gave off only two ...

A 61-year-old woman presented with the primary complaints of chest heaviness and dysphagia over the past 10 years. Extensive work-up included a computerized tomographic angiography that revealed a right aortic arch with an aberrant left subclavian artery with a vascular ring completed by the fibrotic ligamentum arteriosum connecting the proximal aberrant left subclavian artery to the left pulmo...

A case of anomalous terminal branching of the axillary artery was encountered and described in a left upper limb of a male cadaver. A series of 214 upper limbs of Caucasian race was dissected. A variant artery, stemming from the very end of the axillary artery followed a superficial course distally. It passed the cubital fossa, ran on the lateral side of the forearm as usual radial artery, cros...

The Sun's procedure is a surgical technique proposed by Dr. Li-Zhong Sun in 2002 that integrates total aortic arch replacement using a tetrafurcated graft with implantation of a specially designed frozen elephant trunk (Cronus(®)) in the descending aorta. It is used as a treatment option for extensive aortic dissections or aneurysms involving the ascending aorta, aortic arch and the descending ...