Duplication of internal jugular veins: case report

2009 ◽  
Vol 124 (3) ◽  
pp. 341-344 ◽  
Author(s):  
B Y W Wong ◽  
D R Strachan ◽  
E L Loney
Keyword(s):  
Case Report ◽  
Internal Jugular Vein ◽  
Surgical Intervention ◽  
Jugular Vein ◽  
Conservative Approach ◽  
Current Case ◽  
Jugular Veins ◽  
Adverse Health Outcomes ◽  
Anatomical Finding ◽  
Internal Jugular Veins

AbstractObjectives:We report a rare case of internal jugular vein duplications, in order to raise the level of awareness of this anomaly amongst ENT surgeons, radiologists and intensive care practitioners. We briefly review and discuss the related literature.Case report:Duplicated internal jugular veins are a rare anatomical finding. They may be subclinical, or may present with neck swellings that may be mistaken for laryngocoeles or branchial cysts. We present a case of bilateral internal jugular vein duplication in a young adult. The referral was made on the basis of intermittent neck swelling, dyspnoea and dysphagia. Conservative treatment was instigated, and symptoms improved without surgical intervention.Conclusions:Only a handful of cases of duplicated internal jugular veins have been reported. The current case is unique, as no previously reported cases have presented with dyspnoea and dysphagia. We suggest a conservative approach, as there is currently no evidence that duplicated internal jugular veins cause any adverse health outcomes.

Internal jugular vein reconstruction: application of conventional type A and novel type K methods

2011 ◽  
Vol 125 (6) ◽  
pp. 643-648 ◽  
Author(s):  
K Kamizono ◽  
M Ejima ◽  
M Taura ◽  
M Masuda
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Type A ◽  
External Jugular Vein ◽  
Reconstruction Procedure ◽  
Jugular Veins ◽  
Type K ◽  
Conventional Type ◽  
Internal Jugular Veins ◽  
Fatal Complications

AbstractBackground:During neck dissection, the current practice is to preserve the internal jugular vein in the majority of cases. However, sacrifice of bilateral internal jugular veins is required in rare cases. Simultaneous excision of both internal jugular veins is known to frequently cause fatal complications. Even if staged, bilateral internal jugular vein sacrifice still occasionally leads to fatal complications (in 2 per cent). We report two different methods of unilateral internal jugular vein reconstruction, in two cases requiring excision of bilateral internal jugular veins, and we review the significance of this reconstruction procedure.Method:The first patient underwent conventional type A reconstruction (using Katsuno's classification): end-to-end anastomosis of the internal jugular vein to the external jugular vein. For the second patient, we anastomosed the internal jugular vein to the anterior jugular vein, preserving the flow of the external jugular vein. This method, termed type K, had two main expected benefits: facial drainage via the preserved external jugular vein; and provision of a built-in safeguard in the case of occlusion (via the preserved venous networks between the internal jugular vein and the external jugular vein, e.g. the facial vein).Results:In both cases, the reconstructed internal jugular vein was patent and the post-operative course was uneventful, with no severe complications.Conclusion:The current and previous findings strongly indicate that the reconstruction of at least one internal jugular vein is highly recommended for patients requiring bilateral internal jugular vein sacrifice. Our type K method may represent a useful technique for this procedure.

scholarly journals Communicating vein between the right external and internal jugular veins: a case report

2021 ◽  
Vol 15 (1) ◽  
pp. 84-87
Author(s):  
Eleni Patera ◽  
Abduelmenem Alashkham
Keyword(s):  
Case Report ◽  
Jugular Vein ◽  
Thyroid Cartilage ◽  
Radical Neck Dissection ◽  
Neck Region ◽  
External Jugular Vein ◽  
Jugular Veins ◽  
The Right ◽  
Internal Jugular Veins ◽  
Communicating Vein

The external jugular vein is a superficial vein that has a relatively diagonal to vertical course in the neck region and runs superficial to the sternocleidomastoid muscle. This vein is formed by the union of the posterior division of the retromandibular vein with the posterior auricular vein and it is responsible for draining most of the scalp and face as well. Sound knowledge of variations of the external jugular veins and the internal jugular veins, is important as these veins are used or targeted in specific medical procedures such as external jugular vein cannulation or radical neck dissection, respectively. During routine postgraduate dissection of the neck region in a 58-year-old female cadaver, the right external jugular vein was seen communicating with the right internal jugular vein via a communicating vein. The communicating vein was located approximately at the lower border of the thyroid cartilage and the upper border of the cricoid cartilage. A thorough understanding of anatomical variations is important in various medical disciplines and more specifically to anatomists, radiologists, and surgeons. This case report does not solely aim to increase awareness regarding variations of the jugular veins that can be possibly encountered during a neck endovascular procedure, but also contribute to the identification of the prevalence rate of this variation.

scholarly journals Advanced papillary thyroid carcinoma requiring reconstruction of the carotid artery and internal jugular vein: a case report

2011 ◽  
Vol 21 (1) ◽  
pp. 91-95
Author(s):  
Go Omura ◽  
Masashi Sugasawa ◽  
Seiichi Yoshimoto ◽  
Satoko Matsumura ◽  
Fumihiko Takajo ◽  
...  
Keyword(s):  
Case Report ◽  
Papillary Thyroid Carcinoma ◽  
Carotid Artery ◽  
Thyroid Carcinoma ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Papillary Thyroid

scholarly journals Aplasia of the superior vena cava and persistent superior left vena cava in a 3-year-old child: Case report

2021 ◽  
Vol 11 (1) ◽  
pp. 85-90
Author(s):  
Vladimir V. Lazarev ◽  
Tatiana V. Linkova ◽  
Pavel M. Negoda ◽  
Anastasiya Yu. Shutkova ◽  
Sergey V. Gorelikov ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Vascular Access ◽  
Vascular System ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
X Ray ◽  
The Right

BACKGROUND: Structural features of the patients vascular system can cause unintended complications when providing vascular access and can disorient the specialist in assessing the location of the installed catheter. This study aimed to demonstrate anatomical features of the vascular system of the superior vena cava and diagnostic steps when providing vascular access in a child. CASE REPORT: Patient K (3 years old) was on planned maintenance of long-term venous access. Preliminary ultrasound examination of the superior vena cava did not reveal any abnormalities. Function of the right internal jugular vein under ultrasound control was performed without technical difficulties; a J-formed guidewire was inserted into the vessel lumen. X-ray control revealed its projection in the left heart, which was regarded as a technical complication, so the conductor was removed. A further attempt to insert a catheter through the right subclavian vein led to the same result. For a more accurate diagnosis, the child underwent computed angiography of the superior vena cava system. Congenital anomalies of the vascular system included aplasia of the superior vena cava and persistent left superior vena cava. Considering the information obtained, the Broviac catheter was implanted under ultrasound control through the left internal jugular vein without technical difficulties with the installation of the distal end of the catheter into the left brachiocephalic vein under X-ray control. CONCLUSION: A thorough multifaceted study of the vascular anatomy helps solve the anatomical issues by ensuring vascular access and preventing the risks of complications.

Sign in / Sign up

Export Citation Format

Share Document