Hiroshi Yamamuro1, Tamaki Ichikawa2, Jun Hashimoto2, Shun Ono2, Yoshimi Nagata2, Shuichi Kawada2, Makiko Kobayashi2, Jun Koizumi2, Takeo Shibata3, Yutaka Imai2. 1. Department of Radiology, Tokai University School of Medicine, 259-1193, 143 Shimokasuya, Isehara, 259-1193, Japan. hiro48ma@gmail.com. 2. Department of Radiology, Tokai University School of Medicine, 259-1193, 143 Shimokasuya, Isehara, 259-1193, Japan. 3. Department of Molecular Life Sciences, Tokai University School of Medicine, 143 Shimokasuya, Isehara, 259-1193, Japan.
Abstract
PURPOSE: Anomalous left brachiocephalic vein (BCV) is a rare and less known systemic venous anomaly. We evaluated congenital anomalies of the left BCV in adults detected during computed tomography (CT) examinations. MATERIALS AND METHODS: This retrospective study included 81,425 patients without congenital heart disease who underwent chest CT. We reviewed the recorded reports and CT images for congenital anomalies of the left BCV including aberrant and supernumerary BCVs. The associated congenital aortic anomalies were assessed. RESULTS: Among 73,407 cases at a university hospital, 22 (16 males, 6 females; mean age, 59 years) with aberrant left BCVs were found using keyword research on recorded reports (0.03%). Among 8018 cases at the branch hospital, 5 (4 males, 1 female; mean age, 67 years) with aberrant left BCVs were found using CT image review (0.062%). There were no significant differences in incidences of aberrant left BCV between the two groups. Two cases had double left BCVs. Eleven cases showed high aortic arches. Two cases had the right aortic arch, one case had an incomplete double aortic arch, and one case was associated with coarctation. CONCLUSION: Aberrant left BCV on CT examination in adults was extremely rare. Some cases were associated with aortic arch anomalies.
PURPOSE:Anomalous left brachiocephalic vein (BCV) is a rare and less known systemic venous anomaly. We evaluated congenital anomalies of the left BCV in adults detected during computed tomography (CT) examinations. MATERIALS AND METHODS: This retrospective study included 81,425 patients without congenital heart disease who underwent chest CT. We reviewed the recorded reports and CT images for congenital anomalies of the left BCV including aberrant and supernumerary BCVs. The associated congenital aortic anomalies were assessed. RESULTS: Among 73,407 cases at a university hospital, 22 (16 males, 6 females; mean age, 59 years) with aberrant left BCVs were found using keyword research on recorded reports (0.03%). Among 8018 cases at the branch hospital, 5 (4 males, 1 female; mean age, 67 years) with aberrant left BCVs were found using CT image review (0.062%). There were no significant differences in incidences of aberrant left BCV between the two groups. Two cases had double left BCVs. Eleven cases showed high aortic arches. Two cases had the right aortic arch, one case had an incomplete double aortic arch, and one case was associated with coarctation. CONCLUSION: Aberrant left BCV on CT examination in adults was extremely rare. Some cases were associated with aortic arch anomalies.
Entities:
Keywords:
Anomaly; Computed tomography (CT); Left brachiocephalic vein
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