Chinese Journal of Clinical Anatomy >
Applied anatomy of the triangle of ductus arteriousus
Received date: 2013-09-17
Online published: 2014-04-21
Objective To investigate the anatomical features of the triangle of ductus arteriosus, so as to provide morphologic data for clinical operation in this region. Methods Fifty cadavers fixed by formalin were collected randomly. The arterial ligament(AL)、the left vagus nerve and the left recurrent laryngeal nerve(LRLN) were dissected and observed. The angle between the AL and the left pulmonary artery (LPA) was measured, and the data were statistically analyzed. Results (1) The AL was located between the aortic arch and LPA, namely in a typical triangle of ductus arteriosus in 47 cadavers, and between LPA and descending aorta in remaining 3 cadavers. (2) The attachment sites of AL on the aortic arch and LPA varied greatly. According to the different sites, all of the cases could be divided into 6 types. (3) The LRLN originated from the left vagus nerve at the inferior margin of the aortic arch in 36% cases, at the lower 1/3 of the anterior wall of the arch in 30% cases, at the middle 1/3 of the anterior wall of the arch in 14% cases, at the upper 1/3 of the anterior wall of the arch in 14% cases, and at the medial margin of the descending aorta in 6% cases. (4)The angle between the median axis of the AL and the LPA was(45.08±19.06)° . In 3 cadavers the angle was 0°,and in 2 cadavers was 90°. (5) The LRLNs hooked around the upper end of the AL and aortic arch in all 50 cadavers. Conclusion The results reveal that the morphology of the AL is different from the classical description. The attachment sites of AL on the aortic arch and LPA vary greatly, which makes the relations of the AL to the surrounding structures more complicated. Surgeons should keep the variations in mind to avoid the occurrence of complications during the operation of ductus arteriosus ligation and other operations in this region.
TAO Guo-Qiang , SUN Shan-Quan , ZHONG Yuan , ZHANG Hu-Qi , ZUO Yao-Ban . Applied anatomy of the triangle of ductus arteriousus[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(2) : 158 -161 . DOI: 10.13418/j.issn.1001-165x.2014
[1] Ikeda Y, Niimi M, Kan S, et al. Thoracoscopic esophagectomy combined with mediastinoscopy via the neck
[J]. Ann Thorac Surg, 2002, 73(4): 1329-1331.
[2] Ikeda Y, Niimi M, Sasaki Y, et al. Mediastinoscopic esophagectomy using carbon dioxide insufflation via the neck approach
[J]. Surgery,2001,129(4): 504-506.
[3] Law S, Fok M, Chu KM, et al. Thoracoscopic esophagectomy for esophageal cancer
[J]. Surgery,1997,122(1):8-14.
[4] Vida VL, Rubino M, Bottio T, et al. Thoracoscopic closure of the patent arterial duct
[J]. Cardiol Young, 2004,14(2):164-167.
[5] 谢斌,张镜芳,庄健,等.电镜辅助胸腔镜钳闭治疗动脉导管未闭
[J].中华外科杂志,2001,39(6):446.
[6] 谷力加,王武军.胸腔镜辅助胸膜外动脉导管未闭结扎术临床价值研究
[N].中山大学学报(医学科学版),2009,30(4):172.
[7] 刘正津,陈尔瑜.临床解剖学丛书·胸部与脊柱分册
[M].北京:人民卫生出版社,1989:238-239.
[8] 陈熙,王泽军.动脉导管(索)与左喉返神经的应用解剖
[J].中华胸心血管外科杂志,1994,1O(1):67.
[9] 刘美明,吴树明,张供,等.动脉导管三角的解剖及其临床应用
[J].中国临床解剖学杂志,2005,23(3):331-332.
[10] 孙善全,张绍祥.人体大体形态学实验
[M].北京:科学出版社,2008:338-340.
[11] Richard L Drake, A Wayne Vogl, Adam W.M.Mitchell,格氏解剖学教学版
[M].北京大学医学出版社,2010:210.
[12] 盛守寅,吴起才. 经典与改良Ivor Lewis手术治疗食管中下段癌的对比研究
[J].江西医药,2010,45(9):853-854.
[13] 朱成楚,陈仕林,叶敏华.电视胸腔镜下行食管癌手术胸部淋巴结清扫
[J].中华外科杂志,2005,43(10):628-630.
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