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

Journal of Cardiothoracic Surgery

Eiichi Ohba¹  Mitsuaki Sadahiro¹  Tetsuro Uchida¹  Kimihiro Kobayashi¹  Atushi Yamashita¹  Yoshinori Kuroda¹  Tomonori Ochiai¹  Shingo Nakai¹ 

[1] Second Department of Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, 990-9585, Yamagata, Japan;

关键词: Vascular anomaly;    Left brachiocephalic vein;    Cardiac surgery;    Case report;   

DOI  :  10.1186/s13019-021-01630-8

来源: Springer

【 摘 要 】

BackgroundA double left brachiocephalic vein is an extremely rare venous anomaly.Case presentationHerein, 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.ConclusionsThe 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.

【 授权许可】

CC BY