open access

Vol 14, No 3 (2019)
Case Reports
Published online: 2019-07-04
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Double left brachiocephalic vein — a rare systemic vein anomaly and a potential source of complication during CIED procedures

Przemysław Stolarz, Elżbieta Barbara Świętoń, Roman Steckiewicz
DOI: 10.5603/FC.2019.0063
·
Folia Cardiologica 2019;14(3):302-304.

open access

Vol 14, No 3 (2019)
Case Reports
Published online: 2019-07-04

Abstract

Abnormal systemic vein embryogenesis results in the development of anomalies which, in the case of the left brachiocephalic vein (LBCV), can manifest as a significant and morphometric deviation from the normal anatomy of the vessel. One rare example of such an anatomical variation is the presence of a double LBCV. Depending on its nature and extent, this anomalous LBCV variation, which may be incidentally detected during an invasive procedure, can not only pose difficulties in terms of the successful completion of the procedure, but can also result in injuries to the vessel itself as well as to adjacent structures. We here present a case featuring such a congenital LBCV anomaly, which was discovered during a cardiac pacemaker implantation procedure.

Abstract

Abnormal systemic vein embryogenesis results in the development of anomalies which, in the case of the left brachiocephalic vein (LBCV), can manifest as a significant and morphometric deviation from the normal anatomy of the vessel. One rare example of such an anatomical variation is the presence of a double LBCV. Depending on its nature and extent, this anomalous LBCV variation, which may be incidentally detected during an invasive procedure, can not only pose difficulties in terms of the successful completion of the procedure, but can also result in injuries to the vessel itself as well as to adjacent structures. We here present a case featuring such a congenital LBCV anomaly, which was discovered during a cardiac pacemaker implantation procedure.
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Keywords

anomalous left brachiocephalic vein; venography; cardiac pacing

About this article
Title

Double left brachiocephalic vein — a rare systemic vein anomaly and a potential source of complication during CIED procedures

Journal

Folia Cardiologica

Issue

Vol 14, No 3 (2019)

Pages

302-304

Published online

2019-07-04

DOI

10.5603/FC.2019.0063

Bibliographic record

Folia Cardiologica 2019;14(3):302-304.

Keywords

anomalous left brachiocephalic vein
venography
cardiac pacing

Authors

Przemysław Stolarz
Elżbieta Barbara Świętoń
Roman Steckiewicz

References (4)
  1. Kahkouee S, Sadr M, Pedarzadeh E, et al. Anomalous left brachiocephalic vein: important vascular anomaly concomitant with congenital anomalies and heart diseases. Folia Morphol (Warsz). 2017; 76(1): 51–57.
  2. Kondrachuk O, Yalynska T, Tammo R. Double left brachiocephalic vein. Pediatr Cardiol. 2013; 34(3): 767–768.
  3. Bachleda JP. Iatrogenic Injury to the Superior Vena Cava and Brachiocephalic Vein. Journal of Infectious Diseases and Therapy. 2014; 02(06).
  4. Ko SF, Ng SH, Fang FM, et al. Left brachiocephalic vein perforation: computed tomographic features and treatment considerations. Am J Emerg Med. 2007; 25(9): 1051–1056.

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