Abstract
Anomalous courses of the left innominate vein have rarely been described in anatomical specimens. Investigative techniques such as angiography and echocardiography have brought to light more instances of this anomaly. Three more cases identified by anatomical study are described. Earlier cases were reviewed to assess the type of associated cardiac malformations. Clinically, the abnormality is regarded as benign. When it is recognised during investigation it should alert the clinician to the possibility of associated malformations. Features commonly seen in tetralogy of Fallot--right aortic arch, ventricular septal defect, and right ventricular outflow obstruction--were common in patients with anomalous subaortic innominate veins.
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- Buirski G., Jordan S. C., Joffe H. S., Wilde P. Superior vena caval abnormalities: their occurrence rate, associated cardiac abnormalities and angiographic classification in a paediatric population with congenital heart disease. Clin Radiol. 1986 Mar;37(2):131–138. doi: 10.1016/s0009-9260(86)80382-8. [DOI] [PubMed] [Google Scholar]
- Cloez J. L., Ravault M. C., Marçon F., Pernot C. Tronc veineux innominé en position sous-aortique. Intérêt de l'échocardiographie de contraste par voie suprasternale. Arch Mal Coeur Vaiss. 1982 Aug;75(8):939–943. [PubMed] [Google Scholar]
- JAKUBCZIK I., ZIEGLER H. [Unusual anomalies of the major intrathoracic blood and lymphatic vessel trunks]. Anat Anz. 1963 Mar 30;112:257–268. [PubMed] [Google Scholar]
- Kitamura S., Sakai A., Nishiguchi T. A case of the left innominate vein passing behind the ascending aorta. Anat Rec. 1981 Nov;201(3):567–572. doi: 10.1002/ar.1092010313. [DOI] [PubMed] [Google Scholar]
- Martin C. P. A Case of Congenital Abnormality of the Heart with apparently an unusual Abnormality of the Great Vessels. J Anat. 1931 Apr;65(Pt 3):395–398. [PMC free article] [PubMed] [Google Scholar]
- ROBERTS D. J., Jr, DOTTER C. T., STEINBERG I. Superior vena cava and innominate veins; angiocardiographic study. Am J Roentgenol Radium Ther. 1951 Sep;66(3):341–352. [PubMed] [Google Scholar]
- Smallhorn J. F., Zielinsky P., Freedom R. M., Rowe R. D. Abnormal position of the brachiocephalic vein. Am J Cardiol. 1985 Jan 1;55(1):234–236. doi: 10.1016/0002-9149(85)90341-8. [DOI] [PubMed] [Google Scholar]
- WINTER F. S. Persistent left superior vena cava; survey of world literature and report of thirty additional cases. Angiology. 1954 Apr;5(2):90–132. doi: 10.1177/000331975400500207. [DOI] [PubMed] [Google Scholar]