An Adult Case of Absence Left Brachiocephalic Vein without an Intrathoracic Collateral Pathway

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  • Watanabe Masaaki
    Division of Cardiovascular Surgery, Fukushima Prefectural Aizu General Hospital
  • Kondou Shun-ichi
    Division of Cardiovascular Surgery, Fukushima Prefectural Aizu General Hospital
  • Wakamatsu Hiroki
    Department of Cardiovascular Surgery, Fukushima Prefectural University Hospital
  • Igari Tsuguo
    Department of Cardiovascular Surgery, Fukushima Prefectural University Hospital

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  • 胸腔内での静脈交通がない先天性左腕頭静脈欠損の1成人例

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<p>We report an adult case of absence left brachiocephalic vein without a persistent left superior vena cava or accessory hemiazygos vein connection. A 64-year-old man was admitted to our hospital for tinnitis and diagnosed with cerebellar infarction. During admission, heart murmur was noted and aortic regurgitation was diagnosed. At aortic valve replacement, left brachiocephalic vein was not revealed in the usual position. Venography showed that venous blood from left upper limb was returned in a retrograde manner through the left internal jugular vein, passing through skull venous connection and draining to the right internal jugular vein. The patient did not experience edema of left upper limb. Moreover, the relationship between this venous return and the onset of cerebellar infarction was unclear.</p>

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