Circumaortic double left innominate vein: Two novel echocardiographic diagnostic clues for a tricky diagnosis

Rad, Elaheh Malakan

doi:10.1111/echo.14137

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…In the few reported cases, the anterior LBV superior to the aortic arch is usually present but multiple variants of the course of the other LBV have been described such as retro aortic course 3 as in our case, retroesophageal, 4 and anterior to the aortic arch parallel to the normal LBV 2 …”

Section: Discussionmentioning

confidence: 49%

“…In most reported cases, double LBCVs were discovered accidentally on investigating associated cardiovascular anomalies or rhythm disorders 2‐5 . In the current work, we report for the first time associated double LBCVs with a vascular ring in a fetus with further assessment after birth.…”

Section: Introductionmentioning

confidence: 63%

“…It must be differentiated from a persistent left superior vena cava or a vertical vein in a total anomalous pulmonary venous connection or even an enlarged lymph node in unenhanced CT 4 . Malakan et al described two diagnostic clues, the double‐circle appearance (retro aortic brachiocephalic and right pulmonary artery in short axis of suprasternal view in echocardiography and sagittal view of cardiac CT angiogram) and the V sign (describing the course of the proximal part of both LBVs on echocardiography and CT coronal images) 3 . In the current report, we have described a new sign that could be appreciated in the suprasternal short‐axis view.…”

Section: Discussionmentioning

confidence: 99%

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Double left brachiocephalic veins with vascular ring and normal intracardiac anatomy: Prenatal diagnosis of a rare association

Rakha

Batouty

2020

Echocardiography

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One of the extremely rare systemic venous anomalies is double left brachiocephalic veins (LBVs). In the current work, a rare association of double LBVs with a vascular ring and normal intracardiac anatomy is described in fetal life with postnatal confirmation using echocardiography and computed tomography. The prenatal diagnosis of such an infrequent lesion is feasible using fetal echocardiography. Despite the smooth prenatal and postnatal course, potential risk during certain interventions or surgeries should be highlighted in parent counseling.

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Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Double left brachiocephalic veins with vascular ring and normal intracardiac anatomy: Prenatal diagnosis of a rare association

Rakha

Batouty

2020

Echocardiography

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Circumaortic double left innominate vein: a rare echocardiographic diagnosis confirmed during congenital heart surgery

2021

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Diagnosis of retrotracheal left brachiocephalic vein with prenatal ultrasound: a case report

Zhao¹,

Ji²,

Ding³

et al. 2021

Transl Pediatr

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Retroesophageal or retrotracheal left brachiocephalic vein (LBCV) is a rare anatomic variant that is often associated with congenital heart disease. It is rarely reported in fetal life, and an isolated fetal retroesophageal LBCV has a good prognosis: it is typically asymptomatic, although respiratory symptoms or swallowing disorders occasionally occur. A variant was observed on fetal echocardiography at 22 +6 weeks of gestation. The 3-vessel view revealed a transverse section of a vessel to the left of the pulmonary artery.Tracing upwards along its long axis showed that the left subclavian vein joined the left internal jugular vein to form the LBCV, and tracing downwards revealed that the vessel traveled to the right and lower side, where it merged into the superior vena cava via the azygos vein behind the aortic arch. The variant was identified as retrotracheal LBCV. Three-dimensional (3D) reconstruction of fetal great vessels was performed using temporal spatial correlation imaging. The left internal jugular vein and the left subclavian vein converged into the LBCV, then bypassed behind the trachea and converged into the superior vena cava via the azygous vein. As a 3D technique, spatio-temporal image correlation (STIC) can visualize the abnormal courses of LBCV, thus improving the diagnostic accuracy. This article presents the 2-dimensional (2D) ultrasound, color Doppler, and STIC findings of an isolated retrotracheal LBCV, which may inform the sonographic diagnosis of such variants.

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Circumaortic double left innominate vein: Two novel echocardiographic diagnostic clues for a tricky diagnosis

Cited by 3 publications

References 4 publications

Double left brachiocephalic veins with vascular ring and normal intracardiac anatomy: Prenatal diagnosis of a rare association

Double left brachiocephalic veins with vascular ring and normal intracardiac anatomy: Prenatal diagnosis of a rare association

Circumaortic double left innominate vein: a rare echocardiographic diagnosis confirmed during congenital heart surgery

Diagnosis of retrotracheal left brachiocephalic vein with prenatal ultrasound: a case report

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