Anomalous Left Brachiocephalic Vein

Takada, Yukari; Narimatsu, A; Kohno, Atsushi; Kawai, C; Hara, Hiroko; Harasawa, Arimi; Takahashi, Eriko; Shigeta, Akiko

doi:10.1097/00004728-199211000-00012

Cited by 59 publications

(63 citation statements)

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“…3E and 3F). In fact, cases with double left brachiocephalic veins (simultaneous normal and subaortic veins) (Takada et al, 1992), a case reported by Kim et al (1994), and one case in our study in which a vein with the same course of ASLBV was detected after thrombotic obstruction of the normal brachiocephalic vein or SVC may support his hypothesis. Despite the theory, several cases were still reported with this anomaly but without any anatomical anomalies in the heart, aortic arch, and branching neck arteries (Amerasekera and McGuirk, 2010;Fujimoto et al, 1992;Nakamura et al, 2006).…”

Section: Discussionsupporting

confidence: 87%

“…However, noninvasive imaging examinations, including echocardiography (Choi et al, 1990;Curtil et al, 1999; *Correspondence to: Mitsugi Nagashima, MD, Department of Surgery, Stroke and Cardiovascular Center, Ehime University Hospital, Shitsukawa, Toon City, Ehime 791-0295, Japan. E-mail: mitsugi@aqua.plala.or.jp Morhy Borges Leal et al, 2002;Towbin et al, 1987) and three-dimensional computed tomography (Chen et al, 2005;Chern et al, 1999;Gülsün et al, 2003;Kim et al, 1994;Takada et al, 1992), have recently increased the recognition of this anomaly. Usually, the normal left brachiocephalic vein obliquely descends left to right, courses superior and anterior to the aortic arch, and joins the right brachiocephalic vein forming the superior vena cava (SVC).…”

Section: Introductionmentioning

confidence: 99%

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Anomalous subaortic left brachiocephalic vein in surgical cases and literature review

et al. 2010

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Anomalous subaortic left brachiocephalic vein (ASLBV) is a rare systemic venous anomaly. We review our experience with patients associated with ASLBV who underwent cardiac surgery at three institutions. From 1989 to 2009, the medical records of surgically treated patients with ASLBV were analyzed; the incidence of ASLBV, clinical characteristics, and associated anatomical findings were assessed. Fifteen patients had ASLBV. All ASLBVs coursed left lateral to the aortic arch, passed under the ascending aorta anterior to the central pulmonary artery, and joined the right brachiocephalic vein. Fourteen patients had congenital heart disease (CHD), and the remaining patient did not have cardiac anomalies. Its incidence was 0.57% (14 of 2,449) in patients with CHD and only 0.02% (1 of 4,805) in patients without CHD. In patients with CHD, 73.3% (11 of 15) of the patients had conotruncal cardiac anomalies such as tetralogy of Fallot, ventricular septal defect with pulmonary atresia, truncus arteriosus, and interruption of the aortic arch. Eight patients had aortic arch anomalies, including right aortic arch and cervical aortic arch. The deletion of chromosomal 22q11.2 was confirmed in two patients, and one patient was diagnosed with DiGeorge syndrome. ASLBV was clinically silent even without any surgical intervention. ASLBV is a very rare anomaly and is highly associated with conotruncal cardiac anomalies and aortic arch anomalies, including right aortic arch and cervical aortic arch. Preoperative diagnosis is important when any surgical interventions are intended, especially, in patients with conotruncal cardiac anomalies.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Anomalous subaortic left brachiocephalic vein in surgical cases and literature review

et al. 2010

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“…At the eighth week of gestation, the paired anterior cardinal veins anastomose to form the brachiocephalic vein (BCV). Any disruption of this stage of embryonic development may result in BCV anomalies, including a double left BCV, presented in this paper [3,10,11,14,17].…”

Section: Introductionmentioning

confidence: 89%

A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

Steckiewicz¹,

Świętoń²,

Stolarz³

2018

Folia Morphol

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“…An aberrant right subclavian artery arises from the descending aorta, runs to the right behind the esophagus, and ascends toward the right axilla. Double left brachiocephalic veins dividing into superior and inferior branches (Takada et al, 1992;Chen et al, 2005) and bilateral superior vena cavae have been reported as thoracic venous anomalies. Three of the four VVs with a lower termination opened along the same plane as the internal thoracic vein in our study.…”

Section: Differential Diagnosis Of Vertebral Vein Variantsmentioning

confidence: 99%

“…To the best of our knowledge, there has been no detailed report concerning variations of the VV in the lower neck. The presence of an anomalous vessel in the thorax has been reported in many articles and occurs as either an isolated abnormality or in association with a lung or cardiac anomaly (Adachi, 1933;Webb et al, 1982;Godwin and Chen, 1986;Woodring et al, 1987;Takasugi and Godwin, 1990;Takada et al, 1992;Chen et al, 2005;Berko et al, 2009). In previous reports, there have been no findings of a VV opening into the lower portion of the BCV.…”

Section: Introductionmentioning

confidence: 98%

Termination of the vertebral veins: Evaluation by multidetector row computed tomography

et al. 2010

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The purpose of this study was to evaluate the topographic anatomy of the vertebral vein (VV) in the lower neck and thoracic inlet using CT scans. Enhanced CT scans using 32-MDCT were obtained for 199 consecutive patients. Reconstructed images with 1-mm section thickness/intervals were evaluated by two radiologists examining the drainage point, number, and route of VVs using frame forwarding and the rewind function on the DICOM viewer. The VV was classified into four types as follows: Type A (80.6%), a VV that descended ventral to the subclavian artery (SA) and drained into the upper portion of the brachiocephalic vein (BCV); Type B (5.8%), a VV that descended dorsal to the SA and drained into the upper portion or the lower portion of the BCV; Type C (8.3%), a doubled VVs that crossed both sides of the SA and drained into the upper portion of the BCV and formed a common trunk; Type D (5.3%), a VV ventral to the SA that drained into the upper portion of the BCV and another VV dorsal to the SA drained into the upper portion or the lower portion of the BCV. Some variations were observed in regard to the drainage point, number, and route of the VVs. Classification of the VV may be useful for interpreting chest CT scans and in better understanding the embryologic development of the vertebral vein.

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Anomalous Left Brachiocephalic Vein

Cited by 59 publications

References 0 publications

Anomalous subaortic left brachiocephalic vein in surgical cases and literature review

Anomalous subaortic left brachiocephalic vein in surgical cases and literature review

A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement

Termination of the vertebral veins: Evaluation by multidetector row computed tomography

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