Retroaortic innominate vein with coarctation of the aorta: surgical repair and embryology review Igor E Konstantinov, MD, Glen S Van Arsdell, MD, Stacy.

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Retroaortic innominate vein with coarctation of the aorta: surgical repair and embryology review Igor E Konstantinov, MD, Glen S Van Arsdell, MD, Stacy O’Blenes, MD, Nathalie Roy, MD, Andrew Campbell, MD The Annals of Thoracic Surgery Volume 75, Issue 3, Pages 1014-1016 (March 2003) DOI: 10.1016/S0003-4975(02)04333-3

Fig 1 Intraoperative view of the anomaly. (A) Anatomy. Retroaortic innominate vein enters the superior vena cava (SVC) below the azygos vein (AzV). Increased distance between the left carotid artery (LCA) and left subclavian artery (LSA). (B) Surgical repair. Ascending aorta transected, the innominate vein brought in front of the aorta. Descending aorta anastomosed into the ascending aorta end-to-side. (Ao = aorta; InV = innominate [left brachiocephalic] vein; LPA = left pulmonary artery; PDA = patent ductus arteriosus; RCA = right carotid artery; RSA = right subclavian artery.) The Annals of Thoracic Surgery 2003 75, 1014-1016DOI: (10.1016/S0003-4975(02)04333-3)

Fig 2 Diagrams illustrating the development of the innominate vein. (A) In the sixth week of gestation: 1 = right anterior cardinal vein; 2 = left anterior cardinal vein; 3 = primitive aorta; 4 = superior transverse capillary plexus; 5 = inferior transverse capillary plexus; 6 = common cardinal veins; 7 = right posterior cardinal vein; 8 = left posterior cardinal vein; 9 = sinus venosus; 10 = vitelline vein; 11 = umbilical vein; 12 = developing inferior vena cava. (B) Normal anatomy: 1 = innominate vein; 2 = azygos vein; 3 = superior vena cava; 4 = right atrium; 5 = inferior vena cava; 6 = coronary sinus. (C) Retroaortic innominate vein: 1 = innominate vein; 2 = azygos vein; 3 = superior vena cava; 4 = right atrium; 5 = inferior vena cava; 6 = coronary sinus. The Annals of Thoracic Surgery 2003 75, 1014-1016DOI: (10.1016/S0003-4975(02)04333-3)