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Superior epigastric artery

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Artery: Superior epigastric artery
Superior epigastric artery, internal thoracic artery and inferior epigastric artery. (Superior epigastric artery is labeled at right center.)
Latin arteria epigastrica superior
Gray's subject #148 584
Source internal thoracic
Vein superior epigastric vein
Dorlands/Elsevier a_61/12154236

In human anatomy, superior epigastric artery refers to a blood vessel that carries oxygenated blood and arises from the internal thoracic artery. It anastomoses with the inferior epigastric artery at the umbilicus and supplies the anterior part of the abdominal wall and some of the diaphragm.

Along its course, it is accompanied by a similarly named vein, the superior epigastric vein.

Contents

[edit] Collateralization in vascular disease and aortic coarctation

The superior epigastric arteries, inferior epigastric arteries, internal thoracic arteries and left subclavian artery/brachiocephalic and right subclavian artery are collateral vessels to the thoracic aorta and abdominal aorta.

If the abdominal aorta develops a significant stenosis and/or blockage (as may be caused by atherosclerosis), this collateral pathway may develop sufficiently, over time, to supply blood to the lower limbs.<ref>Yurdakul M, Tola M, Ozdemir E, Bayazit M, Cumhur T. Internal thoracic artery-inferior epigastric artery as a collateral pathway in aortoiliac occlusive disease. J Vasc Surg. 2006 Apr;43(4):707-13. PMID 16616225.</ref>

A congenitally narrowed aorta, due to coarctation, is often associated with a significant enlargement of the internal thoracic and epigastric arteries.<ref>Huhmann W, Kunitsch G, Dalichau H (1976). "[Coarctation of the aorta on the plain chest x-ray (author's transl)]". Dtsch Med Wochenschr 101 (41): 1477-81. PMID 964150.</ref>

[edit] See also

[edit] References

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[edit] External links

Arteries of head and neckedit

EXTERNAL CAROTID: Anterior: superior thyroid - superior laryngeal - lingual (sublingual)

facial: cervical branches (ascending palatine - tonsillar - submental) - facial branches (inferior labial - superior labial - lateral nasal - angular)

Posterior and ascending: occipital - posterior auricular - stylomastoid - ascending pharyngeal (meningeal branches)
Terminal: superficial temporal - transverse facial - middle temporal (zygomaticoörbital) - parietal branch
internal maxillary - 1st part: anterior tympanic - deep auricular - middle meningeal - superior tympanic - accessory meningeal - inferior alveolar - lingual
2nd part: deep temporal - masseteric - buccinator - posterior superior alveolar
3rd part: infraorbital - descending palatine - artery of the pterygoid canal - sphenopalatine | (Gray's s144)

INTERNAL CAROTID: cervical portion - petrous portion - cavernous portion
ophthalmic - orbital group: lacrimal - supra-orbital - posterior ethmoidal - anterior ethmoidal - medial palpebral - supratrochlear - dorsal nasal
ocular group: central retinal - ciliary
cerebral portion: anterior cerebral - anterior communicating - middle cerebral - posterior communicating - anterior choroidal - circle of Willis | (Gray's s146 - Gray's s147)

SUBCLAVIAN: vertebral: meningeal branches - posterior spinal - anterior spinal - posterior inferior cerebellar - basilar (internal auditory - anterior inferior cerebellar - superior cerebellar - posterior cerebral)
thyrocervical trunk: inferior thyroid - inferior laryngeal - ascending cervical - suprascapular - transverse cervical - dorsal scapular
internal thoracic: musculophrenic - anterior intercostal - pericardiacophrenic - superior epigastric
costocervical trunk: highest intercostal, deep cervical | (Gray's s148)

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