Email this article CLINICAL SIGNIFICANCE OF ANATOMICAL VARIABILITY OF THE LEFT INFERIOR PHRENIC VEIN
- Authors: Chaplygina Y.V.1, Mukanyan S.S.1, Kaplunova O.A.1
-
Affiliations:
- Rostov State Medical University
- Issue: Vol 149, No 1 (2016)
- Pages: 53-56
- Section: Articles
- URL: https://j-morphology.com/1026-3543/article/view/397627
- DOI: https://doi.org/10.17816/morph.397627
- ID: 397627
Cite item
Open Access
Access granted
Abstract
The diaphragm was taken from the corpses of 80 humans of both sexes of adult age and was studied using the complex of preparation, injection, morphometric and of variational-statistical methods. A significant anatomical variation of the left inferior phrenic veins was found, that was characterized by different variants of their confluence, and variation of their diameters. Five variants of the confluence of the left inferior phrenic veins were defined. It was shown that the variant of confluence of the left inferior phrenic veins into a single trunk fusing with the inferior vena cava was suitable for catheterization. Suitable for catheterization left inferior phrenic veins may be divided into freely catheterizable (diameter of 5 mm and more).and conditionally catheterizable (diameter less than 5 mm). When performing cardiac resynchronization therapy, the vein can be used as an alternative way (along with the coronary sinus of the heart) for transvenous delivery system of stimulation electrode. Variants of confluence of the left inferior phrenic vein in hepatic and adrenal veins were not suitable for catheterization.
Full Text
About the authors
Ye. V. Chaplygina
Rostov State Medical University
Email: ev.chaplygina@yandex.ru
Department of Normal Anatomy
S. S. Mukanyan
Rostov State Medical University
Email: makroflex88@mail.ru
Department of Normal Anatomy
O. A. Kaplunova
Rostov State Medical University
Email: kaplunova@bk.ru
Department of Normal Anatomy
References
- Бараков В. Я. Возрастная, хирургическая и функциональная анатомия диафрагмы и вопросы патогенеза её грыж: Автореф. дис. … д-ра мед. наук. Ташкент, 1968.
- Бачинский Ю. С. К хирургической анатомии кровеносных сосудов диафрагмы человека // Труды VI Всес. съезда анат., гистол. и эмбриол. Харьков, 1961. Т. 2. С. 394-396.
- Преображенская И. Н. Вены диафрагмы // Вопросы анатомии и оперативной хирургии. Л.: Медгиз, 1955. С. 144-148.
- Чаплыгина Е. В., Каплунова О. А., Домбровский В. И. и др. Клиническая анатомия сердца в аспекте кардиохирургии. Ростов н/Д: РостГМУ, 2013.
- Швырев А. А. Макро-и микроскопическая анатомия кровеносных сосудов языка в сравнительно-анатомическом и возрастном аспектах: Автореф. дис. … канд. мед. наук. Ростов н/Д, 1975.
- Щукин Д. В. Поиск источников кровотечения из просвета нижней полой вены при венокавотромбэктомии. Анатомическое исследование // Онкоурология. 2014. № 1. С. 16-24.
- Bramante C. T., Westlund R., Weinhaus A. Suitability of the pericardiophrenic veins for phrenic nerve stimulation: an anatomic study // Neuromodulation. 2011. Vol. 14, № 4, P. 337-341.
- Ibukuro K., Mori K., Tsukiyama T. et al. Balloon-occluded retrograde transvenous obliteration of gastric varix draining via the left inferior phrenic vein into the left hepatic vein // Cardiovasc. Intervent. Radiol. 1999. Vol. 22, № 5, P. 415-417.
- Khalameizer V., Pancheva N., Drogenikova T. et al. Impossible is not an option! Two cases of CRT-d implantation with collateral left ventricular access in patients with coronary sinus obstruction // Бьлгарска кардиология. 2010. Т. ХVІ, приложение 1. Р. 16-17.
- Loukas M., Louis R. G., Hullett J. et al. An anatomical classification of the variations of the inferior phrenic vein // Surg. Radiol. Anat. 2005. Vol. 27, № 6. P. 566-574.
- Saad W.E. A. Vascular anatomy and the morphologic and hemodynamic classifications of gastric varices and spontaneous portosystemic shunts relevant to the brto procedure // Techn. Vasc. Int. Radiol. 2013. Vol. 16, Issue 2. P. 60-100.
- Torzilli G., Montorsi M., Palmisano A. et al. Right inferior phrenic vein indicating the right hepatic vein confluence into the inferior vena cava // Am. J. Surg. 2006. Vol. 192, № 5. Р. 690-694.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).