Skip to main content
Log in

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

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

Abstract

A double left brachiocephalic vein is an uncommon anatomic variation. Among these, a accessory branch with preaortic course is extremely rare. In this case, both branches of the left brachiocephalic vein were anterior to the aortic arch. We describe the computed tomography findings with volume-rendering imaging of this rare anatomic variation.

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

Similar content being viewed by others

References

  1. Blackmon JM, Franco A (2011) Normal variants of the accessory hemiazygos vein. Brit J Radiol 84:659–660. https://doi.org/10.1259/bjr/13695502

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Chen S-J, Liu K-L, Chen H-Y, Chiu I-S, Lee W-J, Wu M-H, Li Y-W, Lue H-C (2005) Anomalous brachiocephalic vein: CT, embryology, and clinical implications. AJR Am J Roentgenol 184:1235–1240. https://doi.org/10.2214/ajr.184.4.01841235

    Article  PubMed  Google Scholar 

  3. Gülsün M, Gökoğlu A, Ariyürek M, Demirkazik F, Başaran, Hazirolan T (2003) Subaortic left brachiocephalic vein: computed tomography and magnetic resonance angiography findings. Surg Radiol Anat SRA 25:335–338. https://doi.org/10.1007/s00276-003-0120-3

    Article  PubMed  Google Scholar 

  4. Kawamura I, Hojo R, Fukamizu S (2016) A case of pacemaker implantation in the patient with duplication of the left innominate vein: a case report. SpringerPlus 5:515. https://doi.org/10.1186/s40064-016-2182-9

  5. Kim SH, Chung JW, Im JG, Choi YW, Choe YH, Han MC (1999) Subaortic left innominate vein: radiologic findings and consideration of embryogenesis. J Thorac Imaging 14:142–146

    Article  CAS  PubMed  Google Scholar 

  6. Kondrachuk O, Yalynska T, Tammo R (2013) Double left brachiocephalic vein. Pediatr Cardiol 34:767–768. https://doi.org/10.1007/s00246-012-0542-y

    Article  PubMed  Google Scholar 

  7. Kwon OH, Lim JK, Lee JK, Hwang MS (2014) Double left brachiocephalic veins with persistent left superior vena cava: a case report. J Korean Soc Radiol 71:55–57. https://doi.org/10.3348/jksr.2014.71.2.55

    Article  Google Scholar 

  8. Nagashima M, Shikata F, Okamura T, Yamamoto E, Higaki T, Kawamura M, Ryugo M, Izutani H, Imagawa H, Uchita S, Okamura Y, Suzuki H, Nakamura Y, Tagusari O, Kawachi K (2010) Anomalous subaortic left brachiocephalic vein in surgical cases and literature review. Clin Anat N Y N 23:950–955. https://doi.org/10.1002/ca.21046

    Article  Google Scholar 

  9. Steckiewicz R, Świętoń EB, Stolarz P (2017) A rare vascular anomaly in the form of double left brachiocephalic vein detected incidentally during cardiac implantable electronic device (CIED) placement. Folia Morphol. https://doi.org/10.5603/FM.a2017.0065

  10. Subirana MT, de Leval M, Somerville J (1986) Double left innominate vein: an unusual cross-sectional echocardiographic appearance. Int J Cardiol 12:263–265

    Article  CAS  PubMed  Google Scholar 

  11. Takada Y, Narimatsu A, Kohno A, Kawai C, Hara H, Harasawa A, Takahashi E, Shigeta A (1992) Anomalous left brachiocephalic vein: CT findings. J Comput Assist Tomogr 16:893–896

    Article  CAS  PubMed  Google Scholar 

  12. Topcuoglu OM, Atceken Z, Ariyurek OM (2015) Circumaortic doubled left brachiocephalic vein: a rare confusing variation. Surg Radiol Anat SRA 37:315–318. https://doi.org/10.1007/s00276-014-1345-z

    Article  PubMed  Google Scholar 

  13. Yamamuro H, Ichikawa T, Hashimoto J, Ono S, Nagata Y, Kawada S, Kobayashi M, Koizumi J, Shibata T, Imai Y (2017) Congenital anomalies of the left brachiocephalic vein detected in adults on computed tomography. Jpn J Radiol 35:597–605. https://doi.org/10.1007/s11604-017-0673-4

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by Inha University Research Grant. The study sponsor had no involvement in the conduct of the study or in the writing of the article.

Author information

Authors and Affiliations

Authors

Contributions

GHH: data collection, data analysis, manuscript writing. KHL: project development, manuscript editing. SGC: data collection, data analysis. YSJ: project development. YJK: manuscript editing. HYL: manuscript editing. JHK: project development, data analysis, manuscript writing.

Corresponding author

Correspondence to Jun Ho Kim.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hwang, G.H., Lee, K.H., Cho, S.G. et al. Double left brachiocephalic vein with a preaortic course: a rare finding. Surg Radiol Anat 40, 357–360 (2018). https://doi.org/10.1007/s00276-018-1967-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-018-1967-7

Keywords

Navigation