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A supraclavicular cephalic vein drained into the subclavian vein

  • Anatomic Variations
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Abstract

Although the cephalic vein follows a fairly consistent course, numerous variants have been reported. We found a rare anatomical presentation of the cephalic vein in a 75-year-old Korean male cadaver. The left cephalic vein was identified in the deltopectoral groove, ascended over the clavicle, and terminated into the left subclavian vein just before its union with the left internal jugular vein. The detailed knowledge on the variations of the cephalic vein is important for clinicians as well as anatomists since the approach through the axillary base is favored in many invasive clinical procedures.

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References

  1. Au FC (1989) The anatomy of the cephalic vein. Am Surg 55:638–639

    CAS  PubMed  Google Scholar 

  2. Bertelli D (1890) Le sillon intermediaire anterieur do la moelle humaine dans la premiere annee de vie. Arch Ital de Biol 11:1–10 (cited by Vazquez and Sanudo 2016)

    Google Scholar 

  3. Charpy A (1903) Veines in particulier. In: Poirier P, Charpy A (eds) Traité d’Anatomie Humaine. Masson et Cie Editeurs, Paris (cited by Vazquez and Sanudo 2016)

    Google Scholar 

  4. Clemente CD (1985) Gray’s anatomy. 30th American edition, chapter 9. The veins. Lea and Febiger, Philadelphia, pp 821–822

  5. De Maria E, Cappelli S (2013) Cephalic vein with a supraclavicular course: rare, but do not forget it exists! J Cardiovasc Med (Epub ahead of print)

  6. Dilaveris P, Sotiropoulos E, Georgiopoulos G, Gatzoulis K, Kallikazaros I, Tousoulis D (2016) Is dual-chamber pacemaker implantation feasible through a cephalic vein with a supraclavicular course? Int J Cardiol 212:297–298

    Article  PubMed  Google Scholar 

  7. Evans HM (1912) Embryology of the cardiovascular system. In: Keihel F, Mall FP (eds) Manual of embryology. Lippincott, Philadelphia, pp 687–709

    Google Scholar 

  8. Hong JE, Kim BR, Kim J, Yoon SP (2016) A cephalic vein drained into one of the double axillary veins through the pectoralis major muscle. Folia Morphol 75:268–270

    Article  CAS  Google Scholar 

  9. Ishizuka H (1964) Über die variationen der mündungsweise der V. cephalica. Yokohama Med Bull 15:79–89

    CAS  PubMed  Google Scholar 

  10. Kim DI, Han SH (2010) Venous variations in neck region: cephalic vein. Int J Anat Variat 3:208–210

    Google Scholar 

  11. Lau EW, Liew R, Harris S (2007) An unusual case of the cephalic vein with a supraclavicular course. Pacing Clin Electrophysiol 30:719–720

    Article  PubMed  Google Scholar 

  12. Le Saout J, Vallee B, Person H, Doutriaux M, Blanc J, Nguyen H (1983) Bases anatomiques de l’utilisation chirurgicale de la veine céphalique (V. Cephalica). J Chir (Paris) 120:131–134

    Google Scholar 

  13. Loukas M, Myers CS, Wartmann ChT, Tubbs RS, Judge T, Curry B, Jordan R (2008) The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol 67:72–77

    CAS  Google Scholar 

  14. Lum C, Ladenheim ED (2013) An interesting clinical case: variant of the cephalic vein emptying into the internal jugular vein. Semin Dial 26:E11–E12

    Article  PubMed  Google Scholar 

  15. Padget DH (1957) The development of the cranial venous system in man, from the viewpoint of comparative anatomy. Contr Embryol 247:79–140

    Google Scholar 

  16. Povoski SP (2000) A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients. Ann Surg Oncol 7:496–502

    Article  CAS  PubMed  Google Scholar 

  17. Quain R (1844) Anatomy of the arteries of the human body. Taylor and Walton, London (cited by Vazquez and Sanudo 2016)

    Google Scholar 

  18. Ramírez JD, Sáenz LC, Rodríguez D, Restrepo AJ, Villegas F (2014) Supraclavicular course of the cephalic vein. Int J Case Rep Images 5:281–284

    Article  Google Scholar 

  19. Saaid A, Drysdale I (2008) Unusual termination of the cephalic vein. Clin Anat 21:786–787

    Article  PubMed  Google Scholar 

  20. Saxena P, Shankar S, Kumar V, Naithani N (2015) Bilateral chylothorax as a complication of internal jugular vein cannulation. Lung India 32:370–374

    Article  PubMed  PubMed Central  Google Scholar 

  21. Steckiewicz R, Świętoń EB, Stolarz P, Grabowski M (2015) Clinical implications of cephalic vein morphometry in routine cardiac implantable electronic device insertion. Folia Morphol 74:458–464

    Article  CAS  Google Scholar 

  22. Świętoń EB, Steckiewicz R, Grabowski M, Stolarz P (2016) Selected clinical challenges of a supraclavicular cephalic vein in cardiac implantable electronic device implantation. Folia Morphol 75:376–381

    Article  Google Scholar 

  23. Testut L, Latarjet A (1929) Traité d’Anatomie Humanine, vol II, 8th edn. Gaston Doin & Cie Editeurs, Paris (cited by Vazquez and Sanudo 2016)

    Google Scholar 

  24. Vazquez T, Sanudo J (2016) Veins of the upper limb. In: Tubbs S, Shoja MM, Loukas M (eds) Bergman’s comprehensive encyclopedia of human anatomic variation. Wiley Blackwell, New Jersey, pp 826–831

    Google Scholar 

  25. Yeri LA, Houghton EJ, Palmieri B, Flores M, Gergely M, Gómez JE (2009) Cephalic vein. Detail of its anatomy in the deltopectoral triangle. Int J Morphol 27:1037–1042

    Article  Google Scholar 

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Authors and Affiliations

  1. Medical Course, Medical School, Jeju National University, Jeju-si, Jeju-do, 63243, Republic of Korea

    Jun-Yong Go & Dong-Jae Han

  2. Department of Anatomy, School of Medicine, Jeju National University, 102 Jejudaehak-ro, Jeju-si, Jeju-do, 63243, Republic of Korea

    Jinu Kim & Sang-Pil Yoon

  3. Institute of Medical Science, Jeju National University, Jeju-si, Jeju-do, 63243, Republic of Korea

    Sang-Pil Yoon

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  1. Jun-Yong Go
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  2. Dong-Jae Han
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Correspondence to Sang-Pil Yoon.

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Go, JY., Han, DJ., Kim, J. et al. A supraclavicular cephalic vein drained into the subclavian vein. Surg Radiol Anat 39, 1413–1415 (2017). https://doi.org/10.1007/s00276-017-1878-z

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  • DOI: https://doi.org/10.1007/s00276-017-1878-z

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