Variations of Thoracic Splanchnic Nerves and its Clinical Implications

The present study reports an anomalous branching pattern of the thoracic sympathetic chain. At the level of T3 ganglion, an anomalous branch i.e accessory sympathetic chain (ASC) descended anteromedial to the main sympathetic chain (MSC). The MSC and the ASC communicated with each other at the level...

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Autores principales: Jacob,Tony George, Wadhwa,Surbhi, Paul,Shipra, Das,Srijit
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022005000300010
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spelling oai:scielo:S0717-950220050003000102005-10-28Variations of Thoracic Splanchnic Nerves and its Clinical ImplicationsJacob,Tony GeorgeWadhwa,SurbhiPaul,ShipraDas,Srijit Splanchnic nerves Sympathetic chain Trunk thoracic Ganglion The present study reports an anomalous branching pattern of the thoracic sympathetic chain. At the level of T3 ganglion, an anomalous branch i.e accessory sympathetic chain (ASC) descended anteromedial to the main sympathetic chain (MSC). The MSC and the ASC communicated with each other at the level of T9, T10 and T11 ganglion, indicating the absence of classical pattern of greater, lesser and least splanchnic nerves on the right side. However, on the left side, the sympathetic chain displayed normal branching pattern. We opine that the ASC may be representing a higher origin of greater splanchnic nerve at the level of T3 ganglion and the branches from MSC at T9, T10 and T11 ganglion may be the lesser and least splanchnic nerves, which further joined the ASC (i.e presumably the greater splanchnic nerve) to form a common trunk. This common trunk pierced the right crus of diaphragm to reach the right suprarenal plexus after giving few branches to the celiac plexus. Awareness and knowledge of such anatomical variants of thoracic sympathetic chain may be helpful to surgeons in avoiding any incomplete denervation or preventing any inadvertent injury during thoracic sympathectomyinfo:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.23 n.3 20052005-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022005000300010en10.4067/S0717-95022005000300010
institution Scielo Chile
collection Scielo Chile
language English
topic Splanchnic nerves
Sympathetic chain
Trunk thoracic
Ganglion
spellingShingle Splanchnic nerves
Sympathetic chain
Trunk thoracic
Ganglion
Jacob,Tony George
Wadhwa,Surbhi
Paul,Shipra
Das,Srijit
Variations of Thoracic Splanchnic Nerves and its Clinical Implications
description The present study reports an anomalous branching pattern of the thoracic sympathetic chain. At the level of T3 ganglion, an anomalous branch i.e accessory sympathetic chain (ASC) descended anteromedial to the main sympathetic chain (MSC). The MSC and the ASC communicated with each other at the level of T9, T10 and T11 ganglion, indicating the absence of classical pattern of greater, lesser and least splanchnic nerves on the right side. However, on the left side, the sympathetic chain displayed normal branching pattern. We opine that the ASC may be representing a higher origin of greater splanchnic nerve at the level of T3 ganglion and the branches from MSC at T9, T10 and T11 ganglion may be the lesser and least splanchnic nerves, which further joined the ASC (i.e presumably the greater splanchnic nerve) to form a common trunk. This common trunk pierced the right crus of diaphragm to reach the right suprarenal plexus after giving few branches to the celiac plexus. Awareness and knowledge of such anatomical variants of thoracic sympathetic chain may be helpful to surgeons in avoiding any incomplete denervation or preventing any inadvertent injury during thoracic sympathectomy
author Jacob,Tony George
Wadhwa,Surbhi
Paul,Shipra
Das,Srijit
author_facet Jacob,Tony George
Wadhwa,Surbhi
Paul,Shipra
Das,Srijit
author_sort Jacob,Tony George
title Variations of Thoracic Splanchnic Nerves and its Clinical Implications
title_short Variations of Thoracic Splanchnic Nerves and its Clinical Implications
title_full Variations of Thoracic Splanchnic Nerves and its Clinical Implications
title_fullStr Variations of Thoracic Splanchnic Nerves and its Clinical Implications
title_full_unstemmed Variations of Thoracic Splanchnic Nerves and its Clinical Implications
title_sort variations of thoracic splanchnic nerves and its clinical implications
publisher Sociedad Chilena de Anatomía
publishDate 2005
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022005000300010
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AT wadhwasurbhi variationsofthoracicsplanchnicnervesanditsclinicalimplications
AT paulshipra variationsofthoracicsplanchnicnervesanditsclinicalimplications
AT dassrijit variationsofthoracicsplanchnicnervesanditsclinicalimplications
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