Normal variations of the superior vena cava and azygos venous system depiction by CT scan in the adult Thai population.


Journal

Acta radiologica (Stockholm, Sweden : 1987)
ISSN: 1600-0455
Titre abrégé: Acta Radiol
Pays: England
ID NLM: 8706123

Informations de publication

Date de publication:
Sep 2023
Historique:
medline: 13 9 2023
pubmed: 20 6 2023
entrez: 20 6 2023
Statut: ppublish

Résumé

Identification of normal variations to the thoracic central venous system anatomy is essential in radiological intervention and cardiothoracic surgery to prevent complications. To estimate the prevalence and pattern of normal variations of superior vena cava (SVC) and azygos venous system as well as factors associated with normal variations of SVC. Venous-phase chest CT of 1336 patients were retrospectively reviewed. Age, sex, and underlying disease were recorded. SVC diameter and cross-sectional area were measured to evaluate for associations with normal variations. The prevalence of normal anatomical variations of SVC and azygos venous system were 0.3% and 1.5%, respectively. Duplicated SVC was the most common variations. The most common variation for the azygos venous system was the connection between the hemiazygos and accessory hemiazygos veins draining into the left brachiocephalic vein (12/1336 cases, 0.9%). The median (interquartile range [IQR]) cross-sectional area compared between normal SVC (297.2 mm This study determined the prevalence of rare normal variations of the azygos venous system, a connection between the hemiazygos and accessory hemiazygos veins draining into the left brachiocephalic vein. The prevalence of normal variations of the SVC and azygos venous system in the adult Thai population was similar with that of previous publications. Cross-sectional area was the only factor with a significant association with SVC variations.

Sections du résumé

BACKGROUND BACKGROUND
Identification of normal variations to the thoracic central venous system anatomy is essential in radiological intervention and cardiothoracic surgery to prevent complications.
PURPOSE OBJECTIVE
To estimate the prevalence and pattern of normal variations of superior vena cava (SVC) and azygos venous system as well as factors associated with normal variations of SVC.
MATERIAL AND METHODS METHODS
Venous-phase chest CT of 1336 patients were retrospectively reviewed. Age, sex, and underlying disease were recorded. SVC diameter and cross-sectional area were measured to evaluate for associations with normal variations.
RESULTS RESULTS
The prevalence of normal anatomical variations of SVC and azygos venous system were 0.3% and 1.5%, respectively. Duplicated SVC was the most common variations. The most common variation for the azygos venous system was the connection between the hemiazygos and accessory hemiazygos veins draining into the left brachiocephalic vein (12/1336 cases, 0.9%). The median (interquartile range [IQR]) cross-sectional area compared between normal SVC (297.2 mm
CONCLUSION CONCLUSIONS
This study determined the prevalence of rare normal variations of the azygos venous system, a connection between the hemiazygos and accessory hemiazygos veins draining into the left brachiocephalic vein. The prevalence of normal variations of the SVC and azygos venous system in the adult Thai population was similar with that of previous publications. Cross-sectional area was the only factor with a significant association with SVC variations.

Identifiants

pubmed: 37338506
doi: 10.1177/02841851231181468
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2673-2680

Auteurs

Supaporn Chooprasert (S)

Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Sitang Nirattisaikul (S)

Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Keerati Hongsakul (K)

Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Panjai Choochuen (P)

Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Wisitsak Pakdee (W)

Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

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Classifications MeSH