open access
Complete right- and left-sided thoracic ducts associated with aberrant left vertebral artery: unreported case with surgical implications
open access
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)
Keywords
thoracic duct, aberrant vertebral artery, chylothorax
Title
Complete right- and left-sided thoracic ducts associated with aberrant left vertebral artery: unreported case with surgical implications
Journal
Issue
Article type
Case report
Pages
156-160
Published online
2017-06-14
Page views
1372
Article views/downloads
1473
DOI
Pubmed
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
- 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.
- Adachi B. Der Ductus Thoracicus der Jaaner. In: Kihara T, editor. Das Lymhgefässsystem der Jaaner. Tokyo: Kenkyusha. 1953: 1–83.
- Choong CK, Martinez C, Barner HB. Chylothorax after internal thoracic artery harvest. Ann Thorac Surg. 2006; 81(4): 1507–1509.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Ohkura K, Shiiya N, Washiyama N, et al. Vertebral artery variations in thoracic aortic patients. Eur J Cardiothorac Surg. 2014; 46(1): 27–31.
- 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.