Incidence of systemic venous anomalies in tetralogy of Fallot on multidetector CT angiography: A retrospective single‐center study of 973 patients

Pandey, Niraj Nirmal; Bhambri, Kanika; Sinha, Mumun; Sharma, Arun; Jagia, Priya

doi:10.1111/jocs.14897

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…12 Although tetralogy of Fallot is the most common congenital anomaly in patients with subaortic brachiocephalic vein, the converse is not true and anomalous subaortic brachiocephalic vein is seen in only 3.3%-8.5% of patients with tetralogy of Fallot. 3,4,12,13 In the present series, a common arterial trunk was seen in 3.9% of the patients. Similarly, in an echocardiography-based study by Choi et al, a common arterial trunk was observed in 4.1% of patients with subaortic brachiocephalic vein.…”

Section: Associated Cardiac Anomaliessupporting

confidence: 44%

“…In an echocardiographic study of 24 patients with subaortic brachiocephalic vein, tetralogy of Fallot, including cases with pulmonary atresia was seen in 41.67% of the patients 12 . Although tetralogy of Fallot is the most common congenital anomaly in patients with subaortic brachiocephalic vein, the converse is not true and anomalous subaortic brachiocephalic vein is seen in only 3.3%–8.5% of patients with tetralogy of Fallot 3,4,12,13 . In the present series, a common arterial trunk was seen in 3.9% of the patients.…”

Section: Discussionmentioning

confidence: 42%

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Anomalous subaortic course of brachiocephalic vein: Evaluation on multidetector computed tomography angiography

Verma

Pandey

Ramakrishnan

et al. 2021

Journal of Cardiac Surgery

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Aim: To evaluate the morphology and associated cardiovascular abnormalities in patients with an anomalous subaortic course of brachiocephalic vein on multidetector computed tomography (CT) angiography.Material and Methods: A retrospective study was performed at a tertiary referral institute to identify patients with subaortic brachiocephalic vein on multidetector CT (MDCT) angiography using dual source CT scanner between January 2014 and July 2021. The morphology of the subaortic brachiocephalic vein along with the cardiovascular anatomy and associated anomalies were evaluated.Results: Out of 4349 patients who had undergone MDCT angiography for evaluation of congenital heart diseases, we identified 126 (2.9%) patients with subaortic brachiocephalic vein. The subaortic brachiocephalic vein was left-sided in 125 patients while a right-sided subaortic brachiocephalic vein was identified in a patient with left isomerism. Common cardiovascular associations included tetralogy of Fallot (109/126; 88.1%), double outlet right ventricle (8/126; 6.3%) and common arterial trunk (5/126; 3.9%). The presence of a right aortic arch was seen in 78/126 (62%) patients. Some degree of right ventricular outflow obstruction was present in 119/ 126 (94.4%) patients; pulmonary stenosis was seen in 78 (62%) patients while pulmonary atresia was seen in 41 (32.5%) patients. Conclusion:A subaortic brachiocephalic vein can coexist with various complex congenital heart diseases, most commonly tetralogy of Fallot and commonly associated with right aortic arch and pulmonary stenosis/atresia. It is important to identify this anomalous course of brachiocephalic vein before performing surgical procedures or venous catheterization to avoid potential complications.

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Section: Associated Cardiac Anomaliessupporting

confidence: 44%

Section: Discussionmentioning

confidence: 42%

Anomalous subaortic course of brachiocephalic vein: Evaluation on multidetector computed tomography angiography

Verma

Pandey

Ramakrishnan

et al. 2021

Journal of Cardiac Surgery

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“…The association between systemic venous return variations and TOF was found in about 15% of 973 angiographies reviewed by Pandey et al [ 4 ] Persistence of left superior vena cava (11.5%) was the majority, and anomalous course of the brachiocephalic vein was seen in 4% of cases.…”

Section: Commentmentioning

confidence: 99%

Tetralogy of Fallot with an Anomalous Course of the Brachiocephalic Vein

Matos

Silva

Santos

et al. 2023

Braz J Cardiovasc Surg

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Clinical data: Infant, 11-month-old, male, diagnosis of Tetralogy of Fallot with retrotracheoesophageal course of the brachiocephalic vein. Usual findings of Tetralogy of Fallot on physical examination. Technical description: Chest radiography showed slightly reduced pulmonary vascular markings and no cardiomegaly. Normal preoperative electrocardiogram with postoperative right bundle branch block. Usual findings of Tetralogy of Fallot on echocardiogram. Postoperative computed tomography angiography confirmed left brachiocephalic vein with anomalous retrotracheoesophageal course, configuring a U-shaped garland vein, in addition to postoperative findings of total correction of Tetralogy of Fallot. Operation: Complete surgical repair was performed with pulmonary valve commissurotomy and placement of bovine pericardial patch to solve right ventricular outflow tract obstruction, pulmonary trunk enlargement, and ventricular septal defect closure. Comments: Systemic venous drainage may show variations in patients with Tetralogy of Fallot. These abnormalities are usually of little clinical relevance, as they are asymptomatic. We presented a rare case of retrotracheoesophageal course of an anomalous left brachiocephalic vein with intraoperative diagnosis, confirmed by imaging during postoperative follow-up, without compromising clinical management or surgical approach.

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Retroaortic Innominate Vein in Association With Pulmonary Atresia/Major Aortopulmonary Collaterals

Mainwaring¹,

Desai²,

Punn³

et al. 2023

Annals of Thoracic Surgery Short Reports

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Incidence of systemic venous anomalies in tetralogy of Fallot on multidetector CT angiography: A retrospective single‐center study of 973 patients

Cited by 4 publications

References 12 publications

Anomalous subaortic course of brachiocephalic vein: Evaluation on multidetector computed tomography angiography

Anomalous subaortic course of brachiocephalic vein: Evaluation on multidetector computed tomography angiography

Tetralogy of Fallot with an Anomalous Course of the Brachiocephalic Vein

Retroaortic Innominate Vein in Association With Pulmonary Atresia/Major Aortopulmonary Collaterals

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