Case report. Retroesophageal Left Brachiocephalic Vein in an Infant Without Cardiac Anomalies

Open access

Abstract

Retroesophageal course of the left brachiocephalic vein is a rare variant seen in patients with congenital heart disease. However, this anomaly without associated cardiac or aortic abnormalities is nearly unheard of, with only one prior case described in the literature. We present an infant with anomalous retroesophageal left brachiocephalic vein that was an incidental finding on computed tomography (CT). We also briefly discuss its embryologic and clinical significance.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Curtil A Tronc F Champsaur G et al. The left retro-aortic brachiocephalic vein: morphologic data and diagnostic ultrasound in 27 cases. Surg Radiol Anat. 1999;21:251-254.

  • 2. Yigit AE Halioglu M Karcaaltincaba M et al. Retrotracheal aberrant left brachiocephalic vein: CT findings. Pediatr Radiol. 2008;38:322-324.

  • 3. Ming Z Aimin S Rui H. Evaluation of the anomalous retroesophageal left brachiocephalic vein in Chinese children using multidetector CT. Pediatr Radiol. 2009;39:343-347.

  • 4. Balkman J Zahka K Gilkeson R. Retroesophageal Innominate Vein in a Tetralogy of Fallot Patient. Pediatr Cardiol. 2010;31:733-734.

  • 5. Karl K Sinkovskaya E Abuhamad A et al. Intrathymic and other anomalous courses of the left brachiocephalic vein in the fetus. Ultrasound Obstet Gynecol. 2016;48:464-469.

  • 6. Chern MS Ko JS Tsai A et al. Aberrant left brachiocephalic vein: CT imaging findings and embryologic correlation. Eur Radiol. 1999;9:1835-1839.

  • 7. Chen SJ Liu KL Chen HY et al. Anomalous brachiocephalic vein: CT embryology and clinical implications. AJR. 2005;184:1235-1240.

  • 8. Nagashima M Shikata F Okamura T et al. Anomalous subaortic left brachiocephalic vein in surgical cases and literature review. Clin Anat. 2010;23:950-955.

  • 9. Moss AJ Allen HD Driscoll DJ et al. Moss and Adams’ heart disease in infants children and adolescents. Amsterdam: Wolters Kluwer 2001.

  • 10. Gardiner H Chaoui R. The fetal three-vessel and tracheal view revisited. Semin Fetal Neonatal Med 2013;18:261-268.

  • 11. Carvalho JS Allan LD Chaoui R et al. ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol 2013;41:348-359.

  • 12. Sinkovskaya E Abuhamad A Horton S et al. Fetal left brachiocephalic vein in normal and abnormal conditions. Ultrasound Obstet Gynecol. 2012;40:542-548.

  • 13. Huhta JC Smallhorn JF Macartney FJ et al. Cross-sectional echocardiographic diagnosis of systemic venous return. Br Heart J. 1982;48:388-403.

  • 14. Bennett WF Altaf F Deslauriers J. Anatomy of the superior vena cava and brachiocephalic veins. Thorac Surg Clin 2011;21:197-203 viii.

  • 15. Takada Y Narimatsu A Kohno A et al. Anomalous left brachiocephalic vein: CT findings. J Comput Assist Tomogr. 1992;16:893-896.

  • 16. Kulkarni S Jain S Kasar P et al. Retroaortic left innominate vein - Incidence association with congenital heart defects embryology and clinical significance. Ann Pediatr Cardiol. 2008;1:139-141.

Search
Journal information
Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 280 99 1
PDF Downloads 176 83 8