Skip to main content

Advertisement

Log in

Transposition and variant termination of azygos and hemiazygos veins: an extremely rare variation

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Azygos system of veins is the main source of venous drainage from the thoracic wall. Knowledge of azygos vein anomalies could be of importance to cardiothoracic surgeons and radiologists. We report a rare variation of azygos vein as seen in an adult male cadaver aged 65 years approximately. The azygos vein was formed by the union of left ascending lumbar and subcostal veins. It coursed upwards on the left side of descending thoracic aorta and crossed the left subclavian artery and the left vagus to terminate into the left brachiocephalic vein. It received left superior intercostal vein and left fifth to eleventh posterior intercostal veins. The hemiazygos and accessory hemiazygos veins were situated on the right side of the vertebral column. They received the right posterior intercostal veins and terminated into the azygos vein at the level of eighth thoracic vertebra.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Arslan G, Ozkaynak C, Cubuk M, Sindel T, Lüleci E (1999) Absence of the azygos vein associated with double superior vena cava: a case report. Angiology 50:81–84

    Article  CAS  Google Scholar 

  2. Atari M, Nakajima Y, Fukuhara M, Iijima Y, Kinoshita H, Minamiya Y, Uramoto H (2017) An extremely rare case report of surgery of lung cancer with the absence of azygos vein. Surg Radiol Anat 39:103–106

    Article  Google Scholar 

  3. Badagabettu SN, Shetty P, D'Souza MR (2016) A Unique Variation of Azygos System of Veins. J Cardiovasc Echogr 26:61–64

    Article  Google Scholar 

  4. Keskin S, Keskin Z, Sekmenli N (2013) The independent right and left azygos veins with hemiazygos absence: a rare case presentation. Case Rep Vasc Med 2013:282416

    PubMed  PubMed Central  Google Scholar 

  5. Komatsu H, Izumi N, Tsukioka T, Inoue H, Hara K, Miyamoto H, Nishiyama N (2019) Thoracoscopic resection of mediastinal tumor in a patient with azygos continuation of the inferior vena cava. Gen Thorac Cardiovasc Surg 67:720–722

    Article  Google Scholar 

  6. Kotov G, Dimitrova IN, Iliev A, Groudeva V (2018) A rare case of an azygos lobe in the right lung of a 40-year-old male. Cureus 10:e2780

    PubMed  PubMed Central  Google Scholar 

  7. Koutsouflianiotis K, Paraskevas GK, Iliou K, Noussios G (2018) A left-sided azygos vein in a cadaver: anatomical and surgical considerations. Cureus 10:e2610

    PubMed  PubMed Central  Google Scholar 

  8. Koutsouflianiotis KN, Paraskevas GK, Kitsoulis P, Noussios G (2019) A case of abnormal origin of the azygos vein system: an anatomical study in a human cadaver. Cureus 11:e5068

    PubMed  PubMed Central  Google Scholar 

  9. Li J, Mao Q, Sun Z, Li Q (2017) A rare variant between the left superior vena cava and the azygos vein. Surg Radiol Anat 39:107–109

    Article  CAS  Google Scholar 

  10. Liu F, Ruze A, Amuti S, Wang S, Chen S, Yiming A, Xiong K (2019) A rare variation of the hemiazygos vein draining into the persistent left superior vena cava. Anat Sci Int 94:269–273

    Article  Google Scholar 

  11. Nishie A, Barloon T, Schreiber A (2009) Preaortic interazygous vein; mimicker of other pathologies. Clin Imaging 33:144–145

    Article  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

Authors

Contributions

SBN dissected the cadaver, took pictures and drafted the article. SKV did the review of literature and proofread the manuscript.

Corresponding author

Correspondence to K. V. Soumya.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nayak, S.B., Soumya, K. Transposition and variant termination of azygos and hemiazygos veins: an extremely rare variation. Surg Radiol Anat 42, 1303–1306 (2020). https://doi.org/10.1007/s00276-020-02471-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-020-02471-1

Keywords

Navigation