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Terminal bifurcation of the external jugular vein: a rare variation
Satheesha Badagabettu Nayak,Soumya Kodimajalu Vasudeva 대한해부학회 2022 Anatomy & Cell Biology Vol.55 No.4
Variations of external jugular vein are common. Here, we present a rare terminal bifurcation of the left external jugular vein. The left external jugular vein was formed by the union of entire retromandibular vein and posterior auricular vein. One inch above the clavicle, it bifurcated into medial and lateral divisions. The medial division terminated into the internal jugular vein and the lateral division terminated into the subclavian vein. Medial division received a common vein formed by the union of anterior jugular vein and an anonymous vein lying under the sternocleidomastoid muscle. The lateral division received a common vein formed by the union of suprascapular and transverse cervical veins. The knowledge about this variation could be useful to head and neck surgeons, radiologists and plastic surgeons.
A rare case of persistent jugulocephalic vein and its clinical implication
Prakashchandra Shetty,Satheesha B. Nayak,Rajesh Thangarajan,Melanie Rose D’Souza 대한해부학회 2016 Anatomy & Cell Biology Vol.49 No.3
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.
쇄골하정맥 도자시 반대측 쇄골하정맥 내로 거치된 카테테르 1례
이동준,하경호,김문철,조강희 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3
A central venous catheter is inserted through the subclavian vein for the purpose of administration of fluid and drugs, and the monitoring of the central venous pressure Central venous catheterization is associated with complications that may occur during the insertion of the catheter or after the insertion due to the malposition of the catheter. A malpositioned catheter can result in faulty central venous pressure reading or lead to thrombosis of the vein. Many attempts have been made to correctly place a central venous catheter into the superior vena cava. We report a case of a central venous catheter placed in the opposite subclavian vein and we discussed about the malposition of the central venous catheter.
류상열 ( Sang Ryol Ryu ),박지영 ( Ji Young Park ),류용석 ( Yong Suc Ryu ),유연화 ( Yeon Hwa Yu ),양동진 ( Dong Jin Yang ),이병훈 ( Byoung Hoon Lee ),김상훈 ( Sang Hoon Kim ),이재형 ( Jae Hyung Lee ),우정주 ( Jeong Joo Woo ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.2
Lipomas are common soft tissue tumors that are located in the body tissues containing adipose tissues. However, lipomas arising from the walls of a vein are very rare. Intravascular lipomas have been described most commonly in association with the inferior vena cava. Intravascualar lipomas involving the subclavian vein are rare. We are reporting a case of an asymptomatic lipoma of the right subclavian vein, growing into the right brachiocephalic vein.
쇄골하 정책 도관법 합병증이 발생한 후기 발병형 B군 연쇄상 구균 패혈증 1례
김우경,김미란,김덕하,이혜란,박종영,황대현,Kim, Woo Kyung,Kim, Mi Ran,Kim, Duk Ha,Lee, Hae Ran,Park, Chong Young,Hwang, Dae Haen 대한소아감염학회 1998 Pediatric Infection and Vaccine Vol.5 No.2
Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-neck snare catheter via right femoral vein. This case was presented with a brief review of the literatures.
혈액투석 카테터에 의한 쇄골하정맥 혈전성 폐쇄증의 수술치험 1례
김관민,지현근,안혁,Kim, Kwan-Mien,Chee, Hyun-Keun,Ahn, Hyuk 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.1
We are reporting one case of right subclavian vein thrombotic occlusion as a result of previous hemodialysis catheter placement in a patient with a functioning right brachio-cephalic arteriovenous fistula. Its complication was painful right arm swelling, limitation of motion and cellulitis. Diagnosis was confirmed by right subclavian venography and the complication was successfully managed by right subclavian vein-superior vena cava bypass with a GoreTex vascular graft. The arteriovenous fistula had remained to protect patency of the bypass at first, but two months later after the operation, the arteriovenous fistula had to be occluded because of the heart failure resulting from shunt over flow. After ligation of arteriovenous fistula, heart failure improved, and uncomfortable arm swelling did not develop again.
Safety of a Totally Implantable Central Venous Port System with Percutaneous Subclavian Vein Access
금동윤,김재범,채민철 대한흉부외과학회 2013 Journal of Chest Surgery (J Chest Surg) Vol.46 No.3
Background: The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method. Materials and Methods: Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient’s profiles, indications of port system, early and delayed complications, and implanted period were evaluated. Results: There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%). Conclusion: Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.
쇄골하 정맥 혈전증의 치료 -쇄골 내측절제술 및 내경정맥 치환술 -
정성운,손봉수 대한흉부외과학회 2007 Journal of Chest Surgery (J Chest Surg) Vol.40 No.6
흉곽출구 증후군에서 쇄골하 정맥혈전증은 그리 흔한 질환은 아니지만 혈전 용해술 및 풍선 성형술 또는 스텐트 등의 시술이 필요하게 되고 수술을 통한 첫 번째 늑골절제술과 정맥수술을 요하는 질환이다. 저자들은 경액와 접근법이 아닌 쇄골내측절제술을 통한 구조물 감압과 내경정맥 치환술 후 스텐트 삽입을 하여 좋은 결과를 얻었기에 보고하고자 한다.
빗장밑정맥을 이용한 중심정맥카테터 삽입 후 발생한 심낭삼출
이상봉,김성춘 대한응급의학회 2011 大韓應急醫學會誌 Vol.22 No.6
Central venous catheterization of a subclavian vein is commonly used in emergency departments for hemodynamic monitoring of patients undergoing shock. Though central venous catheterization has many advantages, it can cause various complications such as bleeding, pneumothorax,infection, or endocarditis. We report a 62-year-old female who had a pericardial effusion complication caused by central venous catheterization of the right subclavian vein. A computed tomography scan revealed a contrast-enhanced pericardium and catheter tubegraphy, which suggested the malpositioning of the catheter tip in the pericardial space. After removing the central venous catheter, pericardial effusion spontaneously resolved and the patient had no further adverse events from hemopericardium.
좌새골하정맥을 통하여 중심정맥도관 삽입 3 일 후에 발생한 상대정맥천공과 우흉수 : 증례 보고 A case report
조형찬,손주태,최준영,신일우,이헌근,정영균 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4
A 67-year-old male patient had coronary artery bypass graft. Before the induction of general anesthesia, 16 gauge central venous catheter was inserted via left subclavian vein. Initial chest anteroposterior (AP) radiograph showed adequate position, and the central venous pressure measurement through it was satisfactory. This patient's progress was satisfactory, and he was extubated on the second postoperative day. Daily chest AP radiograph had been unremarkable until the third postoperative day, when a right-sided pleural effusion was seen. A day later, the patient complained severe chest pain and dyspnea. We suspected perforation of superior vena cava wall by tip of central venous catheter on the chest computerized tomograph (CT). The injection of radiopaque dye through the central venous catheter confirmed spillage into the mediastinum on the chest CT. Right chest tube was inserted. The patient's condition dramatically improved after chest tube insertion. (Korean J Anesthesiol 2002; 43: 525~530)