(A) A preoperative 3-dimensional-reconstructed computed tomographic image showing an anomalous double LBCV. (B) The intraoperative image showing the inferior LBCV passing across the heart in front of the pericardium in a 79-year-old woman undergoing aortic valve replacement and coronary artery bypass grafting. LBCV: left brachiocephalic vein.
Figure 1:

(A) A preoperative 3-dimensional-reconstructed computed tomographic image showing an anomalous double LBCV. (B) The intraoperative image showing the inferior LBCV passing across the heart in front of the pericardium in a 79-year-old woman undergoing aortic valve replacement and coronary artery bypass grafting. LBCV: left brachiocephalic vein.

ACKNOWLEDGEMENTS

The authors thank Editage (www.editage.jp) for English language editing.

Reviewer information

European Journal of Cardio-Thoracic Surgery thanks Krishnasamy Arunkumar and Marko Ivan Turina for their contribution to the peer review process of this article.

Author notes

Tetsuro Uchida, Yoshinori Kuroda and Mitsuaki Sadahiro contributed equally to this work.

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