Evidence map›Paper›PMID 39185429›Full record

ArticleRadiology case reports2024

An anomalous left adrenal vein draining into both the left renal vein and inferior vena cava: A case report.

Kodai Fukuda, Tetsuo Sonomura, Nobuyuki Higashino, Ryosuke Mimura, Takao Koyama, Akira Ikoma, Daiki Sakane, Tomoya Tsuji, Takaaki Matsuoka, Hiroki Minamiguchi

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In one paragraph

Article in Radiology case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Kodai FukudaDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Tetsuo SonomuraDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Nobuyuki HigashinoDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Ryosuke MimuraDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Takao KoyamaDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Akira IkomaDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Daiki SakaneDepartment of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Tomoya TsujiDepartment of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Takaaki MatsuokaDepartment of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Hiroki MinamiguchiDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A male patient in his forties was diagnosed with primary aldosteronism following blood tests. The patient requested surgical treatment and was transferred to our department for adrenal vein sampling. Preoperative contrast-enhanced computed tomography (CT) revealed that the left adrenal vein (LAV) did not form a common trunk with the left inferior phrenic vein, and instead drained into both the left renal vein (LRV) and inferior vena cava (IVC) after the bifurcation. Angiography from the LAV showed a branch draining into the IVC. Left-sided sampling was performed. Aldosterone levels were elevated at all 3 sites. Because the sampling results were bilaterally positive, the patient was contraindicated for surgery. There are no reports of an anomalous LAV draining into both the LRV and IVC, making this case extremely unique. Regarding the LAV sampling site, it has been reported that aldosterone levels are higher in the common trunk than in the LAV. Therefore, we increased the number of blood sampling sites. In adrenal vein sampling, we often focus on the anatomy of the right adrenal vein because of difficulties in accessing to it. However, anomalies of the LAV may also occur. Therefore, it is important to determine the anatomy of both adrenal veins using preoperative contrast-enhanced CT to plan an appropriate sampling strategy.

Indexed as

Adrenal vein samplingLeft adrenal veinVenous anomalies

Identifiers

PMID39185429
PMCPMC11342797

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.