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Case report
Submitted: 2023-12-23
Accepted: 2024-02-13
Published online: 2024-02-23
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A unique variation of the jugular veins and its clinical significance

McKenzie Young1, Alexis Zavitsky1, Jillian Niceley1, Gabriella Battiston1, Sumathilatha Sakthi-Velavan1
·
Pubmed: 38390747
Affiliations
  1. Division of Biomedical Sciences, Marian University College of Osteopathic Medicine, Indianapolis, IN, 46222, USA

open access

Ahead of Print
CASE REPORTS
Submitted: 2023-12-23
Accepted: 2024-02-13
Published online: 2024-02-23

Abstract

The authors report a rare variation of the anterior jugular and internal jugular veins in a 78-year-old male donor. An enlarged and curved left anterior jugular vein (AJV) was formed as the continuation of the left common facial vein (CFV). The left AJV’s diameter was wider than the internal jugular vein (IJV) and measured around 5 mm greater than the IJV’s diameter and a channel connected the two veins. The right AJV and CFV continued from the two divisions of the right facial vein. The right AJV’s diameter was smaller than the right IJV’s diameter. The right external jugular vein was absent. No concurrent pathology supported the abnormal dimension of the left AJV and the findings were indicative of a variant anatomy. These variations have rarely been reported and have important clinical correlations. Failed IJV cannulation may result if the variant neck veins are missed. However, variant veins may serve as collateral channels and patch material in IJV reconstruction, carotid angioplasty, and ventricular-jugular shunts.

Abstract

The authors report a rare variation of the anterior jugular and internal jugular veins in a 78-year-old male donor. An enlarged and curved left anterior jugular vein (AJV) was formed as the continuation of the left common facial vein (CFV). The left AJV’s diameter was wider than the internal jugular vein (IJV) and measured around 5 mm greater than the IJV’s diameter and a channel connected the two veins. The right AJV and CFV continued from the two divisions of the right facial vein. The right AJV’s diameter was smaller than the right IJV’s diameter. The right external jugular vein was absent. No concurrent pathology supported the abnormal dimension of the left AJV and the findings were indicative of a variant anatomy. These variations have rarely been reported and have important clinical correlations. Failed IJV cannulation may result if the variant neck veins are missed. However, variant veins may serve as collateral channels and patch material in IJV reconstruction, carotid angioplasty, and ventricular-jugular shunts.

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Keywords

jugular veins, anatomical variation, catheterization, venous anastomoses, communicating vein, bilateral variation

About this article
Title

A unique variation of the jugular veins and its clinical significance

Journal

Folia Morphologica

Issue

Ahead of Print

Article type

Case report

Published online

2024-02-23

Page views

106

Article views/downloads

86

DOI

10.5603/fm.98618

Pubmed

38390747

Keywords

jugular veins
anatomical variation
catheterization
venous anastomoses
communicating vein
bilateral variation

Authors

McKenzie Young
Alexis Zavitsky
Jillian Niceley
Gabriella Battiston
Sumathilatha Sakthi-Velavan

References (14)
  1. Dalip D, Iwanaga J, Loukas M, et al. Review of the variations of the superficial veins of the neck. Cureus. 2018; 10(6): e2826.
  2. Standring S. Development of the head and neck. In: Standring S. ed. Gray's anatomy: the anatomical basis of clinical practice. Elsevier Churchill Livingstone, Edinburgh 2021: 273–291.
  3. Bertha A, Rabi S. Anatomical variations in termination of common facial vein. J Clin Diagn Res. 2011; 5(1): 24–27.
  4. Gupta V, Tuli A, Choudhry R, et al. Facial vein draining into external jugular vein in humans: its variations, phylogenetic retention and clinical relevance. Surg Radiol Anat. 2003; 25(1): 36–41.
  5. Bondaz M, Ricard AS, Majoufre-Lefebvre C, et al. Facial vein variation: implication for facial transplantation. Plast Reconstr Surg Glob Open. 2014; 2(7): e183.
  6. Lin BS, Kong CW, Tarng DC, et al. Anatomical variation of the internal jugular vein and its impact on temporary haemodialysis vascular access: an ultrasonographic survey in uraemic patients. Nephrol Dial Transplant. 1998; 13(1): 134–138.
  7. Nayak BS. Surgically important variations of the jugular veins. Clin Anat. 2006; 19(6): 544–546.
  8. Kumar S, Baidya R. Termination of the common facial vein into the anterior jugular vein: a rare case report. Int J Anat Res. 2018; 6(3.2): 5501–5503.
  9. Tartière D, Seguin P, Juhel C, et al. Estimation of the diameter and cross-sectional area of the internal jugular veins in adult patients. Crit Care. 2009; 13(6): R197.
  10. Hojaij FC, Santos L, Moyses R, et al. Anatomy of the anterior jugular veins: anatomical study of 30 cadavers. Arch Head Neck Surg. 2022; 51: e20220005.
  11. Schummer W, Schummer C, Bredle D, et al. The anterior jugular venous system: variability and clinical impact. Anesth Analg. 2004; 99(6): 1625–1629.
  12. Cvetko E. A case of left-sided absence and right-sided fenestration of the external jugular vein and a review of the literature. Surg Radiol Anat. 2015; 37(7): 883–886.
  13. Katsuno S, Ishiyama T, Nezu K, et al. Three types of internal jugular vein reconstruction in bilateral radical neck dissection. Laryngoscope. 2000; 110(9): 1578–1580.
  14. De Syo D, Franjić BD, Lovricević I, et al. Carotid bifurcation position and branching angle in patients with atherosclerotic carotid disease. Coll Antropol. 2005; 29(2): 627–632.

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