Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-26T17:12:51.009Z Has data issue: false hasContentIssue false

Digital subtraction angiography, magnetic resonance imaging and echocardiographic findings in patients with an anomalous subaortic left brachiocephalic vein

Published online by Cambridge University Press:  19 August 2008

Masaki Nii*
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
Suguru Matsuoka
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
Kazuhiro Mori
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
Yasunobu Hayabuchi
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
Katsuyoshi Tatara
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
Yasuhiro Kuroda
Affiliation:
Department of PediatricsSchool of MedicineUniversity of TokushimaTokushimaJapan
*
Masaki Nii, Department of Pediatrics, School of Medicine, University of Tokushima2-50-1 Kuramotochou, Tokushima City, Tokushima 770, Japan. Tel: 81-886-31-311;1 Fax: 81-886-31-8697

Abstract

We evaluated 6 patients with an anomalous subaortic left brachiocephalic vein. All cases were associated with some form of congenital heart disease: 4 patients had coexistent tetralogy of Fallot, one had congenitally corrected transposition, and the other an atrial septal defect with azygos connection of the inferior caval vein. Our incidence of an anomalous subaortic left brachiocephalic vein in patients with congenital heart diseases was 1.1% (6/527). It was observed in 4 out of 117 patients with tetralogy of Fallot (3.4%). Doppler echocardiography was useful in establishing the diagnosis. Furthermore, both digital subtraction angiography and magnetic resonance imaging demonstrated well the anomalous course of the vein, and were useful in making an accurate diagnosis.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Kershner, L. Zur Morphologic der vena Cava Inferior. Anat Anz 1888; 3: 808823.Google Scholar
2.Gerlis, LM, Ho, SY. Anomalous subaortic position of the brachiocephlic (innominate) vein: a review of published reports of three new cases. Br Heart J 1989; 61: 540545.Google Scholar
3.Choi, JY, Jung, MJ, Kim, JH, Noh, CI, Yun, YS. Anomalous subaortic position of the brachicephalic vein (innominate vein): an echocardiographic study. Br Heart J 1990; 64: 385387.Google Scholar
4.Mill, MR, Wilcox, BR, Detterbeck, FC, Anderson, RH. Anomalous course of the left brachiocephalic vein. Ann Thorac Surg 1993; 55: 600602.Google Scholar
5.Walter, L. Uber eine seltene Lagenamalic der Vena anomyma sinistra nebst Bettachtungen uber Anomalien und Asymmetrien des Venesystems im Bereich des Kopfes und Hales. Z Anat 1931; 95: 769805.Google Scholar
6.Subirana, MT, Leval, M, Somerville, J. Double left in nominate vein: an unusual cress-sectional echocardiographic appearance. Int J Cardiol 1986; 12: 263265.CrossRefGoogle Scholar
7.Takada, Y, Narimatsu, A, Kohno, A, Kawai, C, Hara, H, Haraswa, A, Takahashi, E, Shigeta, A. Anomaous left brachicephalic vein: CT findings. Jounal of Comuter Assisted Tomography 1992; 16(6): 893896.Google Scholar
8.Jakuboczik, I, Ziegler, H. Seltene Anomalien der Grossen intrathoraclen Blut und Lymphgefassstamme. Anat Anz 1963; 112: 257268.Google Scholar
9.Kitamura, S, Sakai, A, Nishiguchi, J. A case of the left innominate vein passing behind the ascending aorta. Anat Rec 1981; 201: 567572.Google Scholar
10.Baba, H, Yokota, Y, Fujiwara, K, Okamoto, F, Kiyota, Y, Sugahra, E, Iemura, J, Ikeda, T, Makino, S, Yoshikawa, E, Murakami, Y. A case report of supero-inferior ventricles {S,L,L} associated with an innominate vein passing behind the ascending arorta. Shinzo (Heart) 1988; 20: 11951200.Google Scholar
11.Smallhorn, JF, Zielinsky, P, Freedom, RM, Rowe, RD. Abnormal position of the brachiocephalic vein. Am J Cardiol 1985; 55: 234236.CrossRefGoogle ScholarPubMed