loading page

Surgical Management of Lesions encountered in the Setting of the Retroaortic Left Brachiocephalic Vein
  • +5
  • Ujjwal Chowdhury,
  • Robert Anderson,
  • Lakshmi Sankhyan,
  • Niwin George,
  • Shikha Goja,
  • Niraj Pandey,
  • Balaji Arvind,
  • Ikshudhanva Tharranath
Ujjwal Chowdhury
All India Institute of Medical Sciences
Author Profile
Robert Anderson
1Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, United Kingdom Birmingham Children’s Hospital, Birmingham, United Kingdom
Author Profile
Lakshmi Sankhyan
All India Institute of Medical Sciences
Author Profile
Niwin George
Author Profile
Shikha Goja
All India Institute of Medical Sciences
Author Profile
Niraj Pandey
All India Institute of Medical Sciences
Author Profile
Balaji Arvind
All India Institute of Medical Sciences
Author Profile
Ikshudhanva Tharranath
Author Profile

Abstract

The present perspective is a synthesis of 80 published investigations in the setting of a retroaortic left brachiocephalic vein, described in 250 patients. Clinical presentation, radiographic findings, ultrasonographic findings, saline contrast echocardiography, computed-tomographic angiocardiography, magnetic resonance imaging, and angiocardiography provided the diagnostic information used to define the disease entity prior to considering the surgical approach to the associated cardiac anomalies. We have also addressed several issues concerning the influence of isomerism, the establishment of diagnosis, and its importance in various surgical and interventional procedures. Although the retroaortic left brachiocephalic vein is asymptomatic, its recognition during clinical investigation should raise the possibility of an association with other malformations, especially right aortic arch, ventricular septal defect, and anomalies of the outflow tracts. We submit that an increased appreciation of this venous anomaly may facilitate surgical planning, endovascular procedures, placement of central venous lines, and transvenous pacemakers.

Peer review status:ACCEPTED

30 Jul 2021Submitted to Journal of Cardiac Surgery
31 Jul 2021Assigned to Editor
31 Jul 2021Submission Checks Completed
03 Aug 2021Review(s) Completed, Editorial Evaluation Pending
03 Aug 2021Editorial Decision: Accept