Most of the vascular lesions of the hand and forearm are either haemangiomas, true Arterio venous malformations (AVM) or predominantly venous malformations (PVM) . Median artery is a transitory vessel that represents the arterial axis of the forearm during early embryonic life which disappears in the second embryonic month. Rarely this vessel will persist till adult life. As described in many cases anatomy of a such presence would be Either a small and short vessel which ends prior to the entry of carpel tunnel (antebrachial type) or as in our case a larger longer vessel extending through carpel tunnel to the hand (Palmar type). Role of the median artery would be to function as a nutrient vessel to the median nerve and to supply surrounding muscles and structures in close proximity to the nerve. Antebrachial type is the commoner type with an incidence ranging from 70-100%, the palmar type is relatively rarer with the incidence of 1.5-50%. Only two anatomical studies have documented the presence of both subtypes in the same limb. Many treatment options described over the years still the exact treatment option of VM is a mystery. As recent advances in interventional radiology has assured a better handling in VM by super selective catheterization of the feeder vessels allowing a higher control, thus surgical resection or transcatheter embolization or the combination of both would be the best treatment options at present. OMICS Group International is an open access online publishing group which has 700+ peer-reviewed journals, organizes 3000+ International Scientific Conferences per year, have around 50,000+ editorial board members and 1000+ Scientific associations. Medical Journals provide a platform for outstanding research around the globe in the field of medicine. These scholarly journals aim to contribute to the progress and application of scientific discoveries, by providing free access to the research information. The published work reaches the general public and the scientific community immediately after publication, thus providing higher citation rates for the author. Medical Journals are supported by 5000 internationally renowned editorial board members and a high quality review board. Medical Journals use online Editorial Manager System for quick and high quality review process. Articles of Medical journals are subjected to peer reviewing and these are included in the standard indexing databases like ISI, Scopus, EBSCO, CAS, HINARI etc. All the articles published in Medical journals are permanently archived in respective peer reviewed journals thus providing unrestricted utilization and requisition of the scientific information.
Last date updated on July, 2014