Double left brachiocephalic vein with a preaortic course: a rare finding

Hwang, Geum Hee; Lee, Kyung Hee; Cho, Soon Gu; Jeon, Yong Sun; Kim, Yeo Ju; Lee, Ha Young; Kim, Jun Ho

doi:10.1007/s00276-018-1967-7

Cited by 5 publications

(10 citation statements)

References 13 publications

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“…This sign is also evident on the coronal images of the cardiac CT angiography (). Although not noticed, this sign is seen on the CT angiographic figures of the previously reported cases . The co‐existence of double‐circle sign and V sign are diagnostic clues for this subtle anomaly that often produces diagnostic dilemma.…”

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confidence: 76%

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

Rad

2018

Echocardiography

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We report a 7-year-old boy with unilateral choanal atresia who was referred for cardiac consultation before surgery. On echocardiography, the heart was normal except the presence of a double-circle appearance and a V-shaped structure on the suprasternal notch view. Cardiac computed tomography (CT) angiography confirmed the diagnosis of the double left innominate vein (DLIV). DLIV is a rare systemic venous anomaly, which often produces diagnostic confusion on echocardiography. Correct diagnosis is essential before performing any invasive procedure through this vein. Co-existence of the two echocardiographic signs of the double-circle appearance and the V sign confirms this tricky diagnosis.

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confidence: 76%

“…Although not noticed, this sign is seen on the CT angiographic figures of the previously reported cases. 3,4 The coexistence of double-circle sign and V sign are diagnostic clues for this subtle anomaly that often produces diagnostic dilemma. The absence of these signs does not exclude this tricky diagnosis.…”

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confidence: 99%

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

Rad

2018

Echocardiography

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“…Clinically, most double left BCVs, by themselves, do not affect the patient's condition. However, when performing the insertion of central venous catheters and electrical leads through the left subclavian vein, there may be some technical di culties and a potential risk of venous injury due to an undiagnosed accessory left BCV [1,2,5].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Double Left Brachiocephalic Vein in an Adult Patient Who Underwent Cardiac Surgery: A Case Report

Kobayashi

Uchida

Kuroda

et al. 2020

Preprint

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Background: A double left brachiocephalic vein is an extremely rare venous anomaly. Case presentation: Herein, we present the case of a 79-year-old woman with a double left brachiocephalic vein who underwent cardiac surgical procedures. The normal left brachiocephalic vein was patent, and the accessory left brachiocephalic vein passed across the heart and aorta in front of the pericardium and drained into the superior vena cava. She underwent surgical ligation of the accessory left brachiocephalic vein, followed by an aortic valve replacement and coronary artery bypass grafting. Her postoperative recovery was uneventful, without any venous complications from the ligation of the accessory vein. The patient is doing well one year after the surgery.Conclusions: The presence of double left brachiocephalic veins should be recognized before cardiac surgery in order for us to avoid intraoperative technical issues concerning this venous anomaly and unpredictable intraoperative bleeding due to injury of the accessory left brachiocephalic vein.

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“…A double left brachiocephalic vein (BCV) is a rare vascular anomaly, and only a few cases have been reported [ 1 ]. In addition to the normal left BCV, the accessory left BCV passes various courses, such as the retroaortic, preaortic, retrotracheal, and retroesophageal, and drains into the superior vena cava [ 1 , 2 ]. Herein, we present the case of a patient with an accessory left BCV passing a preaortic course, who underwent cardiac surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report

Kobayashi

Uchida

Kuroda

et al. 2021

J Cardiothorac Surg

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Background A double left brachiocephalic vein is an extremely rare venous anomaly. Case presentation Herein, we present the case of a 79-year-old woman with a double left brachiocephalic vein who underwent cardiac surgical procedures. The normal left brachiocephalic vein was patent, and the accessory left brachiocephalic vein passed across the heart and aorta in front of the pericardium and drained into the superior vena cava. She underwent surgical ligation of the accessory left brachiocephalic vein, followed by an aortic valve replacement and coronary artery bypass grafting. Her postoperative recovery was uneventful, without any venous complications from the ligation of the accessory vein. The patient is doing well one year after the surgery. Conclusions The presence of double left brachiocephalic veins should be recognized before cardiac surgery in order for us to avoid intraoperative technical issues concerning this venous anomaly and unpredictable intraoperative bleeding due to injury of the accessory left brachiocephalic vein.

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Double left brachiocephalic vein with a preaortic course: a rare finding

Cited by 5 publications

References 13 publications

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

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

Double Left Brachiocephalic Vein in an Adult Patient Who Underwent Cardiac Surgery: A Case Report

Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report

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