open access

Vol 77, No 1 (2018)
Case report
Submitted: 2017-04-13
Accepted: 2017-05-21
Published online: 2017-06-14
Get Citation

Complete right- and left-sided thoracic ducts associated with aberrant left vertebral artery: unreported case with surgical implications

N. Eid, Y. Ito, S. Futaki, Y. Kondo
·
Pubmed: 28653307
·
Folia Morphol 2018;77(1):156-160.

open access

Vol 77, No 1 (2018)
CASE REPORTS
Submitted: 2017-04-13
Accepted: 2017-05-21
Published online: 2017-06-14

Abstract

Anatomy is the keystone to an appropriate understanding of surgical and radiological sciences. Here the authors report on a rare case of complete right- and left-sided thoracic ducts (TDs) associated with aberrant left-vertebral artery (LVA) arising from the aortic arch. The TDs originated from right and left cisterna chyli and terminated separately close to the left venous angle. Superior to the aortic arch, the TDs showed different relationships to the LVA; the right TD was ventral, while the left was dorsal in position. This report is associated with other variations detailed below, and may have important implications in cervicothoracic surgery. (Folia Morphol 2018; 77, 1: 156–160)

Abstract

Anatomy is the keystone to an appropriate understanding of surgical and radiological sciences. Here the authors report on a rare case of complete right- and left-sided thoracic ducts (TDs) associated with aberrant left-vertebral artery (LVA) arising from the aortic arch. The TDs originated from right and left cisterna chyli and terminated separately close to the left venous angle. Superior to the aortic arch, the TDs showed different relationships to the LVA; the right TD was ventral, while the left was dorsal in position. This report is associated with other variations detailed below, and may have important implications in cervicothoracic surgery. (Folia Morphol 2018; 77, 1: 156–160)

Get Citation

Keywords

thoracic duct, aberrant vertebral artery, chylothorax

About this article
Title

Complete right- and left-sided thoracic ducts associated with aberrant left vertebral artery: unreported case with surgical implications

Journal

Folia Morphologica

Issue

Vol 77, No 1 (2018)

Article type

Case report

Pages

156-160

Published online

2017-06-14

Page views

1367

Article views/downloads

1466

DOI

10.5603/FM.a2017.0055

Pubmed

28653307

Bibliographic record

Folia Morphol 2018;77(1):156-160.

Keywords

thoracic duct
aberrant vertebral artery
chylothorax

Authors

N. Eid
Y. Ito
S. Futaki
Y. Kondo

References (11)
  1. Abe T, Kawai R, Uemura N, et al. Chylous leakage from a remaining duplicated left-sided thoracic duct after esophagectomy successfully treated by ligation of the left-sided thoracic duct with left-sided video-assisted thoracoscopic surgery with the patient in the prone position. Asian J Endosc Surg. 2016; 9(2): 138–141.
  2. Adachi B. Der Ductus Thoracicus der Jaaner. In: Kihara T, editor. Das Lymhgefässsystem der Jaaner. Tokyo: Kenkyusha. 1953: 1–83.
  3. Choong CK, Martinez C, Barner HB. Chylothorax after internal thoracic artery harvest. Ann Thorac Surg. 2006; 81(4): 1507–1509.
  4. Eid N, Ito Y, Otsuki Y. Surgically Important Relationships of Recurrent and Nonrecurrent Laryngeal Nerves to the Coexisting Variant Vessels. Forensic Med Anat Res. 2015; 03(01): 16–19.
  5. Eid N, Ito Y, Otsuki Y. Right hepatic artery forming caterpillar hump, perforating Calot's triangle into the cystic plate and associated with a variant branching pattern of the parent vessel. J Hepatobiliary Pancreat Sci. 2015; 22(5): 402–403.
  6. Eid N, Ito Y, Otsuki Y. Thoracic duct relationships to abnormal neurovascular structures in cervicothoracic regions: case study and clinical relevance. Surg Radiol Anat. 2013; 35(10): 969–972.
  7. Eid N, Ito Y, Shibata MA, et al. Persistent median artery: cadaveric study and review of the literature. Clin Anat. 2011; 24(5): 627–633.
  8. Johnson OW, Chick JF, Chauhan NR, et al. The thoracic duct: clinical importance, anatomic variation, imaging, and embolization. Eur Radiol. 2016; 26(8): 2482–2493.
  9. Lee KS, Kim GS, Jung Y, et al. Supraclavicular transposition of aberrant left vertebral artery for hybrid treatment of aortic arch aneurysm: a case report. J Cardiothorac Surg. 2017; 12(1): 9.
  10. Ohkura K, Shiiya N, Washiyama N, et al. Vertebral artery variations in thoracic aortic patients. Eur J Cardiothorac Surg. 2014; 46(1): 27–31.
  11. Okuda I, Udagawa H, Takahashi J, et al. Magnetic resonance-thoracic ductography: imaging aid for thoracic surgery and thoracic duct depiction based on embryological considerations. Gen Thorac Cardiovasc Surg. 2009; 57(12): 640–646.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl