Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance

The azygos venous system is highly variable in terms of its origin, course, communications, tributaries and termination of the associated veins: this study aimed to classify these anatomical variations. Thirty Thiel-embalmed cadavers aged 48­98 years (18 female, 12 male) were examined. The vertebral...

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Autores principales: Dahran,Naief, Soames,Roger
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300051
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spelling oai:scielo:S0717-950220160003000512016-11-17Anatomical Variations of the Azygos Venous System: Classification and Clinical RelevanceDahran,NaiefSoames,Roger Azygos Hemiazygos Retroaortic communications Thiel-embalmed cadavers Variations The azygos venous system is highly variable in terms of its origin, course, communications, tributaries and termination of the associated veins: this study aimed to classify these anatomical variations. Thirty Thiel-embalmed cadavers aged 48­98 years (18 female, 12 male) were examined. The vertebral level of termination and diameter of the azygos, hemiazygos, accessory hemiazygos and the left superior intercostal veins were determined, as well as the termination level of the right superior intercostal vein. The azygos system was classified into 3 types; primitive (type 1), transitional (type 2) and unicolumnar (type 3). Type 2 was further divided into 5 subgroups (A to E) according to the number of retroaortic communications. Type one was observed in 3 % (n=1), type 2 in 87 % (n=26) and type 3 in 10 % (n=3) of specimens. The vertebral level of termination of the azygos, hemiazygos, accessory hemiazygos, right superior intercostal and left superior intercostal veins were between T2 and T3, T6 and T10, T5 and T9, T2 and T4, and T2 and T4 respectively. Identification and understanding these variations are important during preoperative radiological investigations and surgical procedures, especially spinal surgery between T7 and T12 using a left thoracotomy approach, to avoid injuries which may lead to postoperative hematomas.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.3 20162016-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300051en10.4067/S0717-95022016000300051
institution Scielo Chile
collection Scielo Chile
language English
topic Azygos
Hemiazygos
Retroaortic communications
Thiel-embalmed cadavers
Variations
spellingShingle Azygos
Hemiazygos
Retroaortic communications
Thiel-embalmed cadavers
Variations
Dahran,Naief
Soames,Roger
Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
description The azygos venous system is highly variable in terms of its origin, course, communications, tributaries and termination of the associated veins: this study aimed to classify these anatomical variations. Thirty Thiel-embalmed cadavers aged 48­98 years (18 female, 12 male) were examined. The vertebral level of termination and diameter of the azygos, hemiazygos, accessory hemiazygos and the left superior intercostal veins were determined, as well as the termination level of the right superior intercostal vein. The azygos system was classified into 3 types; primitive (type 1), transitional (type 2) and unicolumnar (type 3). Type 2 was further divided into 5 subgroups (A to E) according to the number of retroaortic communications. Type one was observed in 3 % (n=1), type 2 in 87 % (n=26) and type 3 in 10 % (n=3) of specimens. The vertebral level of termination of the azygos, hemiazygos, accessory hemiazygos, right superior intercostal and left superior intercostal veins were between T2 and T3, T6 and T10, T5 and T9, T2 and T4, and T2 and T4 respectively. Identification and understanding these variations are important during preoperative radiological investigations and surgical procedures, especially spinal surgery between T7 and T12 using a left thoracotomy approach, to avoid injuries which may lead to postoperative hematomas.
author Dahran,Naief
Soames,Roger
author_facet Dahran,Naief
Soames,Roger
author_sort Dahran,Naief
title Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
title_short Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
title_full Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
title_fullStr Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
title_full_unstemmed Anatomical Variations of the Azygos Venous System: Classification and Clinical Relevance
title_sort anatomical variations of the azygos venous system: classification and clinical relevance
publisher Sociedad Chilena de Anatomía
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300051
work_keys_str_mv AT dahrannaief anatomicalvariationsoftheazygosvenoussystemclassificationandclinicalrelevance
AT soamesroger anatomicalvariationsoftheazygosvenoussystemclassificationandclinicalrelevance
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