Type of Article : Case Report
Year: 2015 | Volume 3 | Issue 3 | Page No. 1395-1398
Date of Publication: 30-09-2015
A CASE REPORT ON ABNORMAL COURSE OF VENA SAPHENA PARVA
D.Krupa Daniel *1, Ajith Mano 2, Nagaveni 2, Naveen Bharathi 2, Sundarji 2, Valarmathi 2.
*1 Associate Professor of Anatomy, Southern Medical University, Guangzhou P.R, CHINA.
2 MBBS – 2nd Year, Southern Medical University, Guangzhou P.R, CHINA.
Address: Dr.D.Krupa Daniel, Associate Professor of Anatomy, Southern Medical University, Guangzhou P.R, China. Phone : +86-15626441489.
Background: Great saphenous vein and short saphenous veins are the superficial veins of the lower limb. Variations in the superficial veins of the lowerlimb are uncommon. Our case report discusses anomalous course and its abnormal termination of short/small saphenous vein/Vena saphena parva.
Materials and Methods: 80 Cadavers, Blade scalpel, Scissors, Forceps, Cotton, Other stationeries.
Results: The short saphenous vein deviates the anatomical course without draining into popliteal vein, instead drains into deep femoral vein, femoral vein and Great saphenous vein.
Discussion: During a routine dissection with 80 cadavers, an abnormal short saphenous vein was observed in the left lower limb of an aged male cadaver. The origin of small saphneous vein from the dorsum of the foot at the lateral end of the dorsal venous arch and continues behind the lateral malleolus and courses upward along the posterior side of the leg and has to end in popliteal vein but in our continuity of dissection the short saphenous vein has bifurcated into proper short saphenous vein and accessory saphenous vein at the junction of back of leg which drains into great saphenous vein.
Conclusion: The knowledge of superficial veins of the lower limb is useful for clinicians during coronary bypass procedures, as these vessels are commonly used in such surgeries. It is therefore, essential for surgeons before harvesting the great saphenous vein to look for the abnormal drainage pattern of the short saphenous vein into the great saphenous vein either directly or through communication veins or with the presence of the Giacomini vein, Accessory saphenous vein.
KEY WORDS: Great Saphenous vein, Short Saphenous vein, Thigh, Mallelous.
- Standering S . Grays anatomy: the anatomical basis of clinical practice. 39th ed. London: Elsevier Churchill Livingstone 2005p1452-1487.
- Small saphenous vein -https://en.wikipedia.org/wiki/Small_saphenous_vein
- Ellen D. Dillavou - Relevant Venous Anatomy Fellows Venous Course 2013, , University of Pittsburgh Medical Center, Pittsburgh PA, April 21, 2013
- Lower Extremity Venous Anatomy Mark H. Meissner, M.D.1 - Semin Intervent Radiol. 2005 Sep; 22(3): 147–156.
- Vikram singh - Text book of Abdomen & Lower limb - Short saphenous vein – page – 461, Text book – 2014. Isbn -8131236269.
- Henry Gray (1821-1868)– Anatomy of Human body - 3d. The Veins of the Lower Extremity, Abdomen, and Pelvis fig – 585-587.
- Henry Knipe et al – Small saphenous vein - http://radiopaedia.org/articles/small-saphenous-vein.
- Pourandokht Khodabakhsh, Konstantinos T. Delis; Alison L. Knaggs (December 2004). "Prevalence, anatomic patterns, valvular competence, and clinical significance of the Giacomini vein". Journal of Vascular Surgery 40 (6): 1174–1183. doi:10.1016/j.jvs.2004.09.019. Retrieved 2013-02-16
- Delis KT, Swan M, Crane JS, Cheshire NJ. The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction. J Vasc Surg 2004 Sep;40(3):578-81.
- Oliver Jones - Venous Drainage Of The Lower Limb http://teachmeanatomy.info/lower-limb/vasculature/venous-drainage/Last edited : December 15, 2014
- Labropoulos N, Bishawi M, Gasparis A, Tassiopoulos A, Gupta S. Great saphenous vein stump thrombosis after harvesting for coronary artery bypass graft surgery. Phlebology 2012 Oct.
- Georgiev M, Myers KA, Becalaro G. The thigh extension of the lesser saphenous vein: from Giacomini’s observations to ultrasound scan imaging. J Vasc Surg 2003 Mar;37(3):558-63.
D.Krupa Daniel, Ajith Mano, Nagaveni, Naveen Bharathi, Sundarji, Valarmathi. A CASE REPORT ON ABNORMAL COURSE OF VENA SAPHENA PARVA. Int J Anat Res 2015;3(3):1395-1398. DOI: 10.16965/ijar.2015.245