Bifurcated Great Saphenous Vein: A Report on Its Therapeutic and Diagnostic Perspectives.
Bifurcated Great Saphenous Vein: A Report on Its Therapeutic and Diagnostic Perspectives.
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DOI：
10.4103/jcecho.jcecho_7_17
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发表时间：
2017-07
影响因子：
0.8
通讯作者：
Abhinitha P
中科院分区：
文献类型：
--
作者：
Kumar N;Aithal AP;Swamy RS;Nayak SB;Rao MKG;Abhinitha P
大隐静脉（GSV）是人体最长的浅静脉，从内踝延伸到腹股沟皮肤皱褶水平。GSV的临床应用使其解剖变异值得注意。由于有许多支流伴随，GSV常被误认为是变异的静脉。副侧耳侧耳静脉的重复和持续性是侧耳侧耳静脉的两个主要临床解剖变异，经常被误解为同义词。在本病例中，我们报告了一种独特的GSV变异，其中它在膝盖区域分为两个不均匀口径的前后分支，然后在大腿区域重新合并形成一条静脉，然后进入股静脉。对于诊断和治疗策略来说，定位这种分叉的GSV变异是一项具有挑战性的任务，特别是在静脉造影程序中，因为它可能导致医源性血管创伤性损伤。
The great saphenous vein (GSV) is the longest superficial vein in the body extending from the medial malleolus to groin skin crease level. The clinical usage of GSV has made its anatomical variations noteworthy. Since many tributaries accompany it, GSV is often mistaken with the variant vein. Duplication and persistence of accessory GSV are the two major clinically significant anatomical variations of the GSV which is frequently misinterpreted as a synonym. In the present case, we report a unique variation of GSV wherein it bifurcated into anterior and posterior divisions of two uneven calibers at knee region, which then reunited at thigh region to form a single vein before its termination into the femoral vein. Locating such variations of bifurcated GSV is a challenging task for both diagnostic and therapeutic tactics, particularly in venography procedures as it might lead to iatrogenic traumatic injury of the vessel.