open access

Vol 79, No 2 (2020)
Case report
Submitted: 2019-04-16
Accepted: 2019-07-03
Published online: 2019-07-12
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Two different variants of the jugulocephalic vein with supraclavicular course

W.-J. Lee1, H. K. Choi1, S. S. Cho2, J. Kim3, S.-P. Yoon34
·
Pubmed: 31448812
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Folia Morphol 2020;79(2):407-410.
Affiliations
  1. Medical Course, Medical School, Jeju National University, Jeju-Do, Korea, Republic Of
  2. Department of Anatomy, College of Medicine, Gachon University, Incheon, Korea, Republic Of
  3. Department of Anatomy, Medical School, Jeju National University, Jeju-Do, Korea, Republic Of
  4. Institute for Medical Science, Jeju National University, Jeju-Do, Korea, Republic Of

open access

Vol 79, No 2 (2020)
CASE REPORTS
Submitted: 2019-04-16
Accepted: 2019-07-03
Published online: 2019-07-12

Abstract

The jugulocephalic anastomosis is a rare anatomical variant which normally undergoes atrophy during embryonic development. We found 2 cases of the jugulocephalic vein variant with supraclavicular course in Korean male cadavers. In a 50-year-old cadaver, the right cephalic vein ascended anterior to the clavicle, and terminated into the external jugular vein as well as to the axillary vein through a classic branch. In a 76-year-old cadaver, the left cephalic vein ascended supraclavicular course without any branch to the axillary vein, and terminated to the external jugular vein. We discussed the embryological explanation as well as its frequency since this jugulocephalic vein variant could cause unpredicted danger during clinical procedures.

Abstract

The jugulocephalic anastomosis is a rare anatomical variant which normally undergoes atrophy during embryonic development. We found 2 cases of the jugulocephalic vein variant with supraclavicular course in Korean male cadavers. In a 50-year-old cadaver, the right cephalic vein ascended anterior to the clavicle, and terminated into the external jugular vein as well as to the axillary vein through a classic branch. In a 76-year-old cadaver, the left cephalic vein ascended supraclavicular course without any branch to the axillary vein, and terminated to the external jugular vein. We discussed the embryological explanation as well as its frequency since this jugulocephalic vein variant could cause unpredicted danger during clinical procedures.

Get Citation

Keywords

jugulocephalic anastomosis, supraclavicular course, cephalic vein, external jugular vein

About this article
Title

Two different variants of the jugulocephalic vein with supraclavicular course

Journal

Folia Morphologica

Issue

Vol 79, No 2 (2020)

Article type

Case report

Pages

407-410

Published online

2019-07-12

Page views

1491

Article views/downloads

544

DOI

10.5603/FM.a2019.0078

Pubmed

31448812

Bibliographic record

Folia Morphol 2020;79(2):407-410.

Keywords

jugulocephalic anastomosis
supraclavicular course
cephalic vein
external jugular vein

Authors

W.-J. Lee
H. K. Choi
S. S. Cho
J. Kim
S.-P. Yoon

References (35)
  1. Anastasopoulos N, Paraskevas G, Apostolidis S, et al. Three superficial veins coursing over the clavicles: a case report. Surg Radiol Anat. 2015; 37(9): 1129–1131.
  2. Araújo RC, Pires LAS, Andrade ML, et al. Embryological and comparative description of the cephalic vein joining the external jugular vein: A case report. Morphologie. 2018; 102(336): 44–47.
  3. Au FC. The anatomy of the cephalic vein. Am Surg. 1989; 55(10): 638–639.
  4. Brain P. Galen on bloodletting: a study of the origins, development, and validity of his opinions, with a translation of the three works. Cambridge University Press. 1986; 189(1): 140–141.
  5. De Maria E, Cappelli S. Cephalic vein with a supraclavicular course: rare, but do not forget it exists! J Cardiovasc Med (Hagerstown). 2017; 18(9): 727–728.
  6. Deslaugiers B, Vaysse P, Combes JM, et al. Contribution to the study of the tributaries and the termination of the external jugular vein. Surg Radiol Anat. 1994; 16(2): 173–177.
  7. Dilaveris P, Sotiropoulos E, Georgiopoulos G, et al. Is dual-chamber pacemaker implantation feasible through a cephalic vein with a supraclavicular course? Int J Cardiol. 2016; 212: 297–298.
  8. Ernest W, Lau MD. First rib and venous anomalies - Anatomical challenges for transvenous implantation of cardiac electronic devices. Indian Pacing Electrophysiol J. 2017; 17(4): 111–112.
  9. Go JY, Han DJ, Kim J, et al. A supraclavicular cephalic vein drained into the subclavian vein. Surg Radiol Anat. 2017; 39(12): 1413–1415.
  10. Hieda G. About japanese subcutaneous veins in upper limb. Acta Medica. 1927; 1: 54–59.
  11. Ishizuka H. Über die variationen der mündungsweise der V. cephalica. Yokohama Med Bull. 1964; 15: 79–89.
  12. Jun ES, Lun AL, Nikam M. A rare anatomic variant of a single-conduit supraclavicular cephalic arch draining into the external jugular vein presenting with recurrent arteriovenous fistula stenosis in a hemodialysis patient. J Vasc Surg Cases Innov Tech. 2017; 3(1): 20–22.
  13. Kameda S, Tanaka O, Terayama H, et al. Variations of the cephalic vein anterior to the clavicle in humans. Folia Morphol. 2018; 77(4): 677–682.
  14. Kim DI, Han SH. Venous variations in neck region: cephalic vein. Int J Anat Var. 2010; 3: 208–210.
  15. Lau EW, Liew R, Harris S. An unusual case of the cephalic vein with a supraclavicular course. Pacing Clin Electrophysiol. 2007; 30(5): 719–720.
  16. Le Sa, Vallee B, Person H, et al. Anatomical Basis for the Surgical Use of the Cephalic Vein (V. Cephalica). 74 Anatomical Dissections. 189 Surgical Dissections]. J Chir (Paris) . 1983; 120: 131–134.
  17. Loukas M, Myers CS, Wartmann ChT, et al. The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol. 2008; 67(1): 72–77.
  18. Lum C, Ladenheim ED. An interesting clinical case: variant of the cephalic vein emptying into the internal jugular vein. Semin Dial. 2013; 26(2): E11–E12.
  19. Maalman RSE, Donkor YO, Ayamba AM, et al. A rare anatomical variation of the termination of right and left cephalic veins. Case Rep Vasc Med. 2018; 2018: 5809656.
  20. Mochizuki S. Japanese cervical veins. Keio J Med. 1925; 5: 245–314.
  21. Nayak BS, Soumya KV. Abnormal formation and communication of external jugular vein. Int J Anat Var. 2008; 1: 15–16.
  22. Padget DH. The development of the cranial venous system in man, from the viewpoint of comparative anatomy. Contr Embryol. 1957; 247: 79–140.
  23. Patil RA, Rajgopal L, Iyer P. Absent external jugular vein – ontogeny and clinical implications. Int J Anat Var. 2013; 6: 103–105.
  24. Plakornkul V, Manoonpol C. The patterns of the cephalic veins termination. Siriraj Med J. 2006; 58: 1204–1207.
  25. Ramírez J, Sáenz L, Rodríguez D, et al. Supraclavicular course of the cephalic vein. Int J Case Rep Imag. 2014; 5(4): 281.
  26. Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH. Larsen's human embryology. 5th Ed. Chapter 13. Development of the vasculature. Elsevier Churchill Livingstone, Philadelphia 2014: 304–340.
  27. Shetty P, Nayak SB, Thangarajan R, et al. A rare case of persistent jugulocephalic vein and its clinical implication. Anat Cell Biol. 2016; 49(3): 210–212.
  28. Świętoń EB, Steckiewicz R, Grabowski M, et al. Selected clinical challenges of a supraclavicular cephalic vein in cardiac implantable electronic device implantation. Folia Morphol. 2016; 75(3): 376–381.
  29. Świętoń E, Steckiewicz E, Stolarz P, et al. Clinical implications of cephalic vein morphometry in routine cardiac implantable electronic device insertion. Folia Morphol. 2015; 74(4): 458–464.
  30. Thiranagama R, Chamberlain AT, Wood BA. The comparative anatomy of the forelimb veins of primates. J Anat. 1989; 164: 131–144.
  31. Thyng FW. The anatomy of a 17.8 mm. human embryo. Am J Anat. 1914; 17(1): 31–112.
  32. Tokano T, Nakazato Y, Shiozawa T, et al. Variations in cephalic vein venography for device implantation–Relationship to success rate of lead implantation. J Arrhyth. 2013; 29(1): 9–12.
  33. Trigano A, D'Ivernois C, Levy S, et al. Preclavicular route following cephalic venous cutdown for pacemaker or defibrillator lead implantation. Pacing Clin Electrophysiol. 2007; 30(1): 147–149.
  34. Vazquez T, Sanudo J. Chapter 64. Veins of the upper limb. In Bergman’s Comprehensive encyclopedia of human anatomic variation, Edit by Tubbs S, Shoja MM, Loukas M. Willey Blackwell, New Jersey 2016: 826–831.
  35. Wysiadecki G, Polguj M, Topol M. Persistent jugulocephalic vein: case report including commentaries on distribution of valves, blood flow direction and embryology. Folia Morphol. 2016; 75(2): 271–274.

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