Anat Cell Biol.  2016 Sep;49(3):210-212. 10.5115/acb.2016.49.3.210.

A rare case of persistent jugulocephalic vein and its clinical implication

Affiliations
  • 1Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Inida. nayaksathish@gmail.com

Abstract

Persistence of jugulocephalic vein is one of the extremely rare variations of the cephalic vein. Knowledge of such a variation is of utmost importance to orthopedic surgeons while treating the fractures of the clavicle, head and neck surgeons, during surgery of the lower part of neck, for cardiothoracic surgeons and radiologists during catheterization and cardiac device placement. We report the persistent jugulocephalic vein in an adult male cadaver, observed during the routine dissection classes. The right cephalic vein ascended upwards, superficial to the lateral part of the clavicle and terminated into the external jugular vein. It also gave a communicating branch to the axillary vein below the clavicle. We discuss the embryological and clinical importance of this rare variation.

Keyword

External jugular vein; Jugulocephalic vein; Cephalic vein; Axillary vein; Subclavian vein

MeSH Terms

Adult
Axillary Vein
Cadaver
Catheterization
Catheters
Clavicle
Head
Humans
Jugular Veins
Male
Neck
Orthopedics
Subclavian Vein
Surgeons
Veins*

Figure

  • Fig. 1 Dissection of the upper part of the right arm and right side of the neck showing JCV. A, anterior; COM, communication between cephalic vein and axillary vein; DLT, deltoid muscle; EJV, external jugular vein; I, inferior; JCV, jugulocephalic vein; MV, muscular vein from sternocleidomastoid; P, posterior; PM, pectoralis major muscle; S, superior; SCM, sternocleidomastoid muscle; TRP, trapezius muscle.

  • Fig. 2 Dissection of the upper part of the right arm and right side of the neck showing JCV. A, anterior; DEL, deltoid muscle; EJV, external jugular vein; GAN, great auricular nerve; I, inferior; JCV, jugulocephalic vein; P, posterior; PEJV, posterior external jugular vein; S, superior; SCM, sternocleidomastoid muscle; TRP, trapezius muscle.


Reference

1. Loukas M, Myers CS, Wartmann CT, Tubbs RS, Judge T, Curry B, Jordan R. The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol (Warsz). 2008; 67:72–77.
2. Lee H, Lee SH, Kim SJ, Choi WI, Lee JH, Choi IJ. Variations of the cubital superficial vein investigated by using the intravenous illuminator. Anat Cell Biol. 2015; 48:62–65.
3. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 40th ed. Philadelphia, PA: Churchill Livingstone Elsevier;2011. p. 777–822. p. 899–906.
4. Snell RS. Clinical anatomy by regions. 8th ed. New Delhi: Wolter Kluwer;2008.
5. Hollinshead WH. Anatomy for surgeons. Vol. 3:2nd ed. New York: Harper and Row;1966.
6. Wysiadecki G, Polguj M, Topol M. Persistent jugulocephalic vein: case report including commentaries on distribution of valves, blood flow direction and embryology. Folia Morphol (Warsz). 2015 Sep 18 [Epub]. DOI: 10.5603/FM.a2015.0084.
7. Thyng FW. The anatomy of a 17.8 mm human embryo. Am J Anat. 1914; 17:31–112.
8. Sadler TW, Langman J. Langman's medical embryology. 7th ed. Baltimore, MD: Williams & Wilkins;1995.
9. Moore KL, Persaud TV. The developing human: clinically oriented embryology. 6th ed. Philadelphia, PA: W. B. Saunders;1998.
10. Lau EW, Liew R, Harris S. An unusual case of the cephalic vein with a supraclavicular course. Pacing Clin Electrophysiol. 2007; 30:719–720.
11. Nayak BS, Soumya KV. Abnormal formation and communication of external jugular vein. Int J Anat Var. 2008; 1:15–16.
12. De Maria E, Cappelli S. Cephalic vein with a supraclavicular course: rare, but do not forget it exists! J Cardiovasc Med (Hagerstown). 2013 Aug 25 [Epub]. DOI: 10.2459/JCM.0b013e32836132d6.
13. Świętoń EB, Steckiewicz R, Grabowski M, Stolarz P. Selected clinical challenges of a supraclavicular cephalic vein (CV) in cardiac implantable electronic device (CIED) implantation. Folia Morphol (Warsz). 2015 Dec 29 [Epub]. DOI: 10.5603/FM.a2015.0125.
14. Lin CH, Yu JC, Lee YT, Wu HS. Conversion from cephalic vein to external jugular vein: success rate increased on totally implantable access ports with cut-down method. Surg Innov. 2013; 20:566–569.
15. Brook WH, Smith CJ. Clinical presentation of a persistent jugulocephalic vein. Clin Anat. 1989; 2:167–173.
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