Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report
Abstract 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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-08-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01630-8 |
| _version_ | 1819064777200107520 |
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| author | Kimihiro Kobayashi Tetsuro Uchida Yoshinori Kuroda Atushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Mitsuaki Sadahiro |
| author_facet | Kimihiro Kobayashi Tetsuro Uchida Yoshinori Kuroda Atushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Mitsuaki Sadahiro |
| author_sort | Kimihiro Kobayashi |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-21T15:35:57Z |
| format | Article |
| id | doaj.art-f84de0e73be3498e89feca30ecbb3a35 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-21T15:35:57Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-f84de0e73be3498e89feca30ecbb3a352022-12-21T18:58:39ZengBMCJournal of Cardiothoracic Surgery1749-80902021-08-011611410.1186/s13019-021-01630-8Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case reportKimihiro Kobayashi0Tetsuro Uchida1Yoshinori Kuroda2Atushi Yamashita3Eiichi Ohba4Shingo Nakai5Tomonori Ochiai6Mitsuaki Sadahiro7Second Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversitySecond Department of Surgery, Faculty of Medicine, Yamagata UniversityAbstract 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.https://doi.org/10.1186/s13019-021-01630-8Vascular anomalyLeft brachiocephalic veinCardiac surgeryCase report |
| spellingShingle | Kimihiro Kobayashi Tetsuro Uchida Yoshinori Kuroda Atushi Yamashita Eiichi Ohba Shingo Nakai Tomonori Ochiai Mitsuaki Sadahiro Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report Journal of Cardiothoracic Surgery Vascular anomaly Left brachiocephalic vein Cardiac surgery Case report |
| title | Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report |
| title_full | Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report |
| title_fullStr | Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report |
| title_full_unstemmed | Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report |
| title_short | Double left brachiocephalic vein in an adult patient who underwent cardiac surgery: a case report |
| title_sort | double left brachiocephalic vein in an adult patient who underwent cardiac surgery a case report |
| topic | Vascular anomaly Left brachiocephalic vein Cardiac surgery Case report |
| url | https://doi.org/10.1186/s13019-021-01630-8 |
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