HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mill, M. R. Articles by Anderson, R. H. Search for Related Content PubMed PubMed Citation Articles by Mill, M. R. Articles by Anderson, R. H.

The Annals of Thoracic Surgery, Vol 55, 600-602, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Anomalous course of the left brachiocephalic vein

MR Mill, BR Wilcox, FC Detterbeck and RH Anderson
Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill.

An anomalous course of the left brachiocephalic vein beneath the aortic arch was identified in 7 patients undergoing surgical repair of congenital cardiac malformations. Six of these patients had the morphologic features of tetralogy of Fallot including severe obstruction to the right ventricular outflow tract and a right aortic arch. A review of the literature reveals this to be an uncommon anomaly. When it is present, however, it is frequently associated with a ventricular septal defect, obstruction of the right ventricular outflow, and aortic arch anomalies. This anomaly can be documented by echocardiography, at cardiac catheterization, or intraoperatively. The presence of a subaortic left brachiocephalic vein may have implications for the conduct of surgical procedures, especially in the setting of tetralogy of Fallot.

This article has been cited by other articles:

				S.-J. Chen, K.-L. Liu, H.-Y. Chen, I.-S. Chiu, W.-J. Lee, M.-H. Wu, Y.-W. Li, and H.-C. Lue Anomalous Brachiocephalic Vein: CT, Embryology, and Clinical Implications Am. J. Roentgenol., April 1, 2005; 184(4): 1235 - 1240. [Abstract] [Full Text] [PDF]

				J. W. Gaynor, P. M. Weinberg, and T. L. Spray Congenital Heart Surgery Nomenclature and Database Project: systemic venous anomalies Ann. Thorac. Surg., April 1, 2000; 69(4): S70 - 76. [Abstract] [Full Text] [PDF]

				T. C. Koutlas, G. Wernovsky, M. C. Slack, P. M. Weinberg, and T. L. Spray Surgical Management of Tricuspid Atresia and Anomalous Left Brachiocephalic Vein Ann. Thorac. Surg., June 1, 1998; 65(6): 1770 - 1772. [Abstract] [Full Text] [PDF]