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Unusual infra-clavicular venous circle - a case report
Satheesha Nayak B1, Srinivasa Rao Sirasanagandla2, Ashwini Aithal P2
1Professor and Head, Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University , Madhav Nagar, Manipal, Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|January 14, 2015
Summary
Anatomical variations in the cephalic vein (CV) and axillary vein (AV) can lead to procedural failure. Understanding these variations, including venous circles and duplicated median cubital veins, is crucial for successful vascular access.
Area of Science:
- Anatomy
- Vascular Surgery
- Medical Imaging
Background:
- The cephalic vein (CV) and axillary vein (AV) are commonly targeted for invasive procedures.
- Anatomical variations in these vessels can complicate interventions and lead to adverse outcomes.
- A comprehensive understanding of axillary and delto-pectoral venous anatomy is essential for surgical success.
Observation:
- A venous circle was identified, formed by tributaries of the axillary vein (AV) in the infra-clavicular region, deep to the pectoral muscles.
- The cephalic vein (CV) was observed to join the proximal end of this venous circle before terminating into the axillary vein (AV).
- Duplication of the median cubital vein was also noted during the examination.
Findings:
- Detailed anatomical variations of the cephalic vein (CV), axillary vein (AV) tributaries, and median cubital vein were documented.
- A unique venous circle involving AV tributaries and the CV was observed in the infra-clavicular region.
- A rare duplication of the median cubital vein was identified.
Implications:
- Awareness of these anatomical variations can significantly improve the success rates of procedures involving the CV and AV.
- Knowledge of potential complications arising from venous anomalies aids in surgical planning and patient safety.
- This study contributes valuable anatomical data for vascular surgeons and interventional radiologists.
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