Staff View: Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach

Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach

Aberrant left brachiocephalic vein is a rare condition. Its occurrence in patients requiring anterior cervicothoracic approach for severe kyphoscoliosis has not been described. A 16-year-old male with neurofibromatosis and severe upper thoracic kyphoscoliosis presented to us with curve progression....

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Main Authors:	Ong, Edwin Kean Siong, Wong, Tat Seng, Chung, Weng Hong, Chiu, Chee Kidd, Saw, Aik, Hasan, Mohd Shahnaz, Chan, Chris Yin Wei, Kwan, Mun Keong
Format:	Article
Published:	SAGE Publications (UK and US) 2019
Subjects:	R Medicine
Online Access:	http://eprints.um.edu.my/23801/ https://doi.org/10.1177/2309499019879213
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spelling	my.um.eprints.238012020-02-14T03:27:46Z http://eprints.um.edu.my/23801/ Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach Ong, Edwin Kean Siong Wong, Tat Seng Chung, Weng Hong Chiu, Chee Kidd Saw, Aik Hasan, Mohd Shahnaz Chan, Chris Yin Wei Kwan, Mun Keong R Medicine Aberrant left brachiocephalic vein is a rare condition. Its occurrence in patients requiring anterior cervicothoracic approach for severe kyphoscoliosis has not been described. A 16-year-old male with neurofibromatosis and severe upper thoracic kyphoscoliosis presented to us with curve progression. Halo gravity traction was attempted but failed to achieve significant correction. Subsequently, he underwent halo-pelvic traction and later Posterior Spinal Fusion (PSF) from C2 to T10. Second-stage anterior cervicothoracic approach with anterior fibula strut grafting was planned; however, preoperative computed tomography angiography revealed an aberrant left brachiocephalic vein with an anomalous retrotracheal and retroesophageal course, directly anterior to the T5/T6 vertebrae (planned anchor site for fibula strut graft) before draining into superior vena cava. Therefore, surgery was abandoned due to the risks associated with this anomaly. Aberrant left brachiocephalic vein is rare, the presence of which could be a contraindication for anterior cervicothoracic approach. Assessment of the anterior neurovascular structures is crucial in preoperative planning. © The Author(s) 2019. SAGE Publications (UK and US) 2019 Article PeerReviewed Ong, Edwin Kean Siong and Wong, Tat Seng and Chung, Weng Hong and Chiu, Chee Kidd and Saw, Aik and Hasan, Mohd Shahnaz and Chan, Chris Yin Wei and Kwan, Mun Keong (2019) Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach. Journal of Orthopaedic Surgery, 27 (3). p. 230949901987921. ISSN 2309-4990 https://doi.org/10.1177/2309499019879213 doi:10.1177/2309499019879213
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine
spellingShingle	R Medicine Ong, Edwin Kean Siong Wong, Tat Seng Chung, Weng Hong Chiu, Chee Kidd Saw, Aik Hasan, Mohd Shahnaz Chan, Chris Yin Wei Kwan, Mun Keong Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
description	Aberrant left brachiocephalic vein is a rare condition. Its occurrence in patients requiring anterior cervicothoracic approach for severe kyphoscoliosis has not been described. A 16-year-old male with neurofibromatosis and severe upper thoracic kyphoscoliosis presented to us with curve progression. Halo gravity traction was attempted but failed to achieve significant correction. Subsequently, he underwent halo-pelvic traction and later Posterior Spinal Fusion (PSF) from C2 to T10. Second-stage anterior cervicothoracic approach with anterior fibula strut grafting was planned; however, preoperative computed tomography angiography revealed an aberrant left brachiocephalic vein with an anomalous retrotracheal and retroesophageal course, directly anterior to the T5/T6 vertebrae (planned anchor site for fibula strut graft) before draining into superior vena cava. Therefore, surgery was abandoned due to the risks associated with this anomaly. Aberrant left brachiocephalic vein is rare, the presence of which could be a contraindication for anterior cervicothoracic approach. Assessment of the anterior neurovascular structures is crucial in preoperative planning. © The Author(s) 2019.
format	Article
author	Ong, Edwin Kean Siong Wong, Tat Seng Chung, Weng Hong Chiu, Chee Kidd Saw, Aik Hasan, Mohd Shahnaz Chan, Chris Yin Wei Kwan, Mun Keong
author_facet	Ong, Edwin Kean Siong Wong, Tat Seng Chung, Weng Hong Chiu, Chee Kidd Saw, Aik Hasan, Mohd Shahnaz Chan, Chris Yin Wei Kwan, Mun Keong
author_sort	Ong, Edwin Kean Siong
title	Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
title_short	Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
title_full	Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
title_fullStr	Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
title_full_unstemmed	Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
title_sort	aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach
publisher	SAGE Publications (UK and US)
publishDate	2019
url	http://eprints.um.edu.my/23801/ https://doi.org/10.1177/2309499019879213
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score	13.211869

Aberrant left brachiocephalic vein is a contraindication for anterior cervicothoracic approach

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