The upper extremity arterial system shows a large number of variations in the adult human body. Most of these variations occur in either the radial or ulnar artery; brachial artery variations are less common. Because the upper extremity is a frequent site of injury and various surgical and invasive procedures are performed in this region, it is of utmost importance to be aware of arterial variations. We report a case of a high bifurcation of the brachial artery presenting with acute ischemia secondary to an embolic event. The anomaly was identified, and the ischemia was successfully resolved with embolectomy.
Ciervo A., Kahn M., Pangilinan AJ, Dardik H.Absence of the brachial artery: report of a rare human variation and review of upper extremity arterial anomalies. J Vasc Surg.2001;33:191-194.
2.
Bergqvist D. , Ericsson BF, Konrad P., Bergentz SEArterial surgery of the upper extremity. World J Surg.1983;7: 786-791.
3.
Welling RE, Cranley JJ, Krause RJ, Hafner CDObliterative arterial disease of the upper extremity. Arch Surg.1981;116:1593-1596.
4.
Jo WM, Kim HJ, Ryu SM, Choi YH, Sohn YSUpper extremity ischemia from developmental failure of brachial artery: a case report. Vasc Endovasc Surg.2005;39: 359-362.
5.
Celik HH, Gormus G., Aldur MM, Ozcelik M.Origin of the radial and ulnar arteries: variations in 81 arteriograms. Morphologie. 2001;85:25-27.
6.
McCormack L. , Cauldwell E., Anson B.Brachial and antebrachial patterns: a study of 750 extremities. Surg Gynecol Obstet.1953 ;96:43-54.
7.
Karlsson S., Niechajev I.Arterial anatomy of the upper extremity. Acta Radiol Diagn (Stockh). 1982;23: 115-121.
8.
Uglietta J., Kadir S.Arteriographic study of variants arterial anatomy of the upper extremities . Cardiovasc Intervent Radiol.1989;12:145-148.
