Bilateral variations of the great saphenous vein

Year 2021, , 219 - 221, 31.05.2021

Ali Zeybek Mazhar Ozkan , Meltem Alpay

https://doi.org/10.5472/marumj.945178

Abstract

The great saphenous vein is the longest in the human body and has been one of the most preferred autologous tissue in bypass surgery.
It is affected by the life conditions causing pathological dilatations called varices. We observed bilaterally duplicated great saphenous
vein in both lower limbs of an elderly male human cadaver during our routine dissection for undergraduate anatomy education. After
a detailed inspection of the veins at both sides, we measured and illustrated the variant branches. In this case report, we presented
bilaterally duplicated great saphenous veins, accompanied by an accessory saphenous vein. To the best of our knowledge, there are no
such variations reported in the literature so far. We think that recognizing this and such variations before surgery will increase success.

Keywords

Great saphenous vein, Bilateral variation, Cadaver

References

• İmamoğlu H, Erdoğan N, Doğan S, Kahriman G. A rare anatomical variation of the great saphenous vein course. Cardiovasc Intervent Radiol 2017;40:1653-4, doi: 10.1007/ s00270.017.1628-y
• Barner HB, Farkas EA. Conduits for coronary bypass: vein grafts. Korean J Thorac Cardiovasc Surg 2012;45:275, doi: 10.5090/kjtcs.2012.45.5.275.
• Özyurt B, Uysal M, Taş U, Çiçek M. Duplication of vena saphena magna: A variation in a male cadaver. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 2013;5:164-71, https:// dergipark.org.tr/en/pub/gutfd/issue/34276/378807
• Packiriswamy V, Nayak SB. Saphenous Ladder formed by almost completely duplicated great saphenous vein. Kathmandu University Medical Journal (KUMJ). 2020;18:99- 101.
• Ricci S, Caggiati A. Does a double long saphenous vein exist? Phlebology 1999;14:59-64, doi: 10.1177/026.835.559901400205
• Cavezzi A, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs—UIP Consensus Document. Part II. Anatomy. Eur J Vasc Endovascu Surg 2006;31:288-99, doi: 10.1016/j. ejvs.2005.07.020
• Schul MW, Vayuvegula S, Keaton TJ. The clinical relevance of anterior accessory great saphenous vein reflux. J Vasc Surg Venous Lymphat Disord 2020;8:1014-20, doi: 10.1016/j. jvsv.2020.02.010
• Cheung-Flynn J, Song J, Voskresensky I, et al. Limiting injury during saphenous vein graft preparation for coronary arterial bypass prevents metabolic decompensation. Sci Rep 2017;7:14179. doi:10.1038/s41598.017.13819-w
• Zachrisson H, Lindenberger M, Hallman D, Ekman M, Neider D, Länne T. Diameter and compliance of the greater saphenous vein-effect of age and nitroglycerine. Clin Physiol Funct Imaging 2011;31:300-6. doi: 10.1111/j.1475- 097X.2011.01016.x
• Motwani R, Jain P. Duplication of great saphenous vein-Anatomical description and its clinical implications. Int J Biol Med Res 2013;4:3372-4, doi: 10.1.1.398.3693&rep=rep1&type=pdf
• Schanzer A, Hevelone N, Owens CD, et al. Technical factors affecting autogenous vein graft failure: observations from a large multicenter trial. J Vasc Surg 2007;46:1180-90, doi: 10.1016/j.jvs.2007.08.033.