J Korean Soc Radiol.  2014 Aug;71(2):55-57. 10.3348/jksr.2014.71.2.55.

Double Left Brachiocephalic Veins with Persistent Left Superior Vena Cava: A Case Report

• Kwon OH
• Lim JK
• Lee JK
• Hwang MS

• KMID: 1819779
• DOI: http://doi.org/10.3348/jksr.2014.71.2.55

Abstract

Anomalous left brachiocephalic vein (ALBCV) is a rare condition of the major thoracic veins. It is usually associated with a congenital cardiac anomaly. Most reports on ALBCV are on aberrant left BCV, and there are few reports on double left BCV. Persistent left superior vena cava (PLSVC) is also a rare vascular anomaly that is caused by the failure of the left anterior cardinal vein to regress. To our knowledge, double left BCV with PLSVC has not been reported. Here, we report a case of double left BCV with PLSVC in a 72-year-old male patient with no previous cardiac abnormality.

MeSH Terms

Aged
Brachiocephalic Veins*
Humans
Male
Veins
Vena Cava, Superior*

Figure

• 

  Fig. 1 Double left brachiocephalic veins (BCV) with persistent left superior vena cava (PLSVC) in a 72-year-old male patient. A. Axial image of the contrast-enhanced CT scan at the level above the aortic arch, showing that the normally placed branch of the left BCV (black arrow) courses obliquely anterior to the ascending aorta. PLSVC is also noted (white arrow). B. At the level of the ascending aorta, subaortic branch of the left BCV (arrowhead) showing the obliquely downward course behind the ascending aorta and drainage into the right SVC. PLSVC is also noted (white arrow). C. Three-dimensional reconstruction images of the PA view revealing two connections between the two SVCs through the double left BCV. Black arrow = normally placed branch of the left BCV, white arrow = PLSVC, arrowhead = subaortic branch of the left BCV.

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