• Title/Summary/Keyword: Veins

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Multiple renal veins clogging the hilum of the right kidney

  • Satheesha B Nayak;Narendra Pamidi;Vasanthakumar Packirisamy;Soumya Kodimajalu Vasudeva
    • Anatomy and Cell Biology
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    • v.56 no.1
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    • pp.141-144
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    • 2023
  • Knowledge of variations of renal vessels is of utmost importance in retroperitoneal surgeries and kidney transplant surgeries. We report concurrent variations of the right renal vessels, observed in an adult male cadaver during dissection classes. The right kidney was supplied by three renal arteries, out of which two entered the kidney through the hilum and the other one entered through the lower pole of the kidney. There were five renal veins, emerging independently from the hilum and opening separately through five openings into the inferior vena cava. Among the veins, only one emerged anterior to the renal pelvis and the other four emerged behind it. Four of them terminated into the posterolateral aspect of the inferior vena cava, whereas one terminated into its anterior aspect. Fourth vein from above, received the right testicular vein. The renal hilum was clogged with the presence of seven vessels and renal pelvis.

A Study on Effects of the Transient Compression by Tightly Tied Necktie on Blood Flow in the Internal Jugular Veins Using 2D-PC MRA (2D-PC MRA를 이용한 넥타이의 순간적인 압박(壓迫)이 내경정맥의 혈류에 미치는 영향에 대한 연구(硏究))

  • Kim, Keung-Sik;Chung, Tae-Sub;Park, In-Kook;Lee, Bum-Soo;Kim, Hyun-Soo;Yoo, Beong-Gyu
    • Journal of radiological science and technology
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    • v.31 no.3
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    • pp.267-276
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    • 2008
  • The 25 healthy male volunteers aged from 20 to 50years old have been employed in this study. 2D-PC MRA was performed to measure the velocity of the blood flow in the internal carotid artery and internal jugular veins using 3.0T MRI Whole body (signa VH/i GE). ECTRICKS-CEMRA was performed to evaluate the pattern of blood circulation from internal carotid artery to internal jugular vein. Using 2D-PC MRA, the cross-section of the 4th and 5th cervical discs was scanned with 24cm FOV. Then the speed of blood flow was measured for internal carotid artery and internal jugular vein when the subject wears a necktie tightly and no tie. The average of maximum velocity of internal carotid arteries without a necktie was 72.13cm/sec in the right side and 74.96cm/sec in the left side(average 73.54cm/sec in both sides) while the average of maximum velocity of internal jugular veins without a necktie was -34.45cm/sec in the right side and -24.99cm/sec in the left side (-29.72cm/sec in both sides). However, when wearing a necktie tightly, the average of maximum velocity of internal carotid arteries was 61.35cm/sec in the right side and 65.19cm/sec in the left side(average 63.27cm/sec in both sides) while the average of maximum velocity of internal jugular veins was -22.14cm/sec in the right side and -17.93cm/sec in the left side(-20.03cm/sec in both sides). With the necktie tightly knotted, the average blood flow speed of both internal carotid arteries slightly decreased to 86% (63.27/73.54cm/sec) compared to no tie case in which both internal jugularveins significantly went down to 67% (-20.03/-29.72 cm/sec). Thus it is suggested that wearing a necktie affects the circulation of internal jugular veins(33% decrease in blood flow speed) more significantly than that of internal carotid artery(14% decrease in blood flow speed). Without a necktie, ECTRICKS-CEMRA showed natural blood circulation patterns of internal carotid arteries and internal jugular veins without any disturbances or compressions. However, when wearing a necktie tightly, ECTRICKS-CEMRA showed severe compression onto both internal jugular veins in all 25 volunteers. In conclusion, the result of the study showed that the tightly worn necktie instantly presses more internal jugular veins than internal carotid arteries, thereby significantly reducing the blood flow speed and leading to the temporary occlusion. Thus, the defecation or washing the face under the tightly tied necktie situations can cause the unexpected and temporary compression or occlusion of the internal jugular veins, subsequently leading to the occurrences of the stroke due to the secondary intracranial venous hypertension.

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Geological Structures and Mineralization in the Yeongam Mineralized Zone, Korea (영암 광화대의 지질구조와 광화작용)

  • Ryoo, Chung-Ryul;Park, Seong-Weon;Lee, Hanyeang
    • The Journal of the Petrological Society of Korea
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    • v.23 no.1
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    • pp.1-15
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    • 2014
  • The Yeongam mineralized zone is located in the southwestern part of the Korean peninsula, including the Sangeun, Eunjeok and Baramjai mines. This zone is located in the northeastern part of the Mokpo-Haenam-Yeongam volcanic circular structure. The 13 sites of quartz vein with mineralization are developed in the Sangeun-Eunjeok-Baramjai area, within rhyolitic welded tuff, showing N-S or NNW trend with highly dipping to the west. The quartz veins occur as a single vein or a bundle of veins with width of 1-5 cm in each. The existence of faults parallel to the quartz veins indicates that the faulting occurred before and after the development of quartz veins and mineralization. The quartz veins and mineralized zone are displaced by NW-trending sinistral strike-slip faults. The extension of the Sangeun-Eunjeok mineralized belt is traced to the south, following a NNW-trending tectonic line, and the Au-Ag contents are analysed in the 12 sites of quartz veins. Contents of gold and silver are 12.3 g/t and 1,380.0 g/t in Eunjeok mine, 2.7 g/t, 23.5g in Sangeun mine, and <0.1 g/t, 5.7 g/t in Baramjai mine respectively. Therefore, a highly Ag-Au mineralized zone is not developed in the southern part of the studied area.

Relationship between Abnormal Hyperintensity on T2-Weighted Images Around Developmental Venous Anomalies and Magnetic Susceptibility of Their Collecting Veins: In-Vivo Quantitative Susceptibility Mapping Study

  • Yangsean Choi;Jinhee Jang;Yoonho Nam;Na-Young Shin;Hyun Seok Choi;So-Lyung Jung;Kook-Jin Ahn;Bum-soo Kim
    • Korean Journal of Radiology
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    • v.20 no.4
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    • pp.662-670
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    • 2019
  • Objective: A developmental venous anomaly (DVA) is a vascular malformation of ambiguous clinical significance. We aimed to quantify the susceptibility of draining veins (χvein) in DVA and determine its significance with respect to oxygen metabolism using quantitative susceptibility mapping (QSM). Materials and Methods: Brain magnetic resonance imaging of 27 consecutive patients with incidentally detected DVAs were retrospectively reviewed. Based on the presence of abnormal hyperintensity on T2-weighted images (T2WI) in the brain parenchyma adjacent to DVA, the patients were grouped into edema (E+, n = 9) and non-edema (E-, n = 18) groups. A 3T MR scanner was used to obtain fully flow-compensated gradient echo images for susceptibility-weighted imaging with source images used for QSM processing. The χvein was measured semi-automatically using QSM. The normalized χvein was also estimated. Clinical and MR measurements were compared between the E+ and E- groups using Student's t-test or Mann-Whitney U test. Correlations between the χvein and area of hyperintensity on T2WI and between χvein and diameter of the collecting veins were assessed. The correlation coefficient was also calculated using normalized veins. Results: The DVAs of the E+ group had significantly higher χvein (196.5 ± 27.9 vs. 167.7 ± 33.6, p = 0.036) and larger diameter of the draining veins (p = 0.006), and patients were older (p = 0.006) than those in the E- group. The χvein was also linearly correlated with the hyperintense area on T2WI (r = 0.633, 95% confidence interval 0.333-0.817, p < 0.001). Conclusion: DVAs with abnormal hyperintensity on T2WI have higher susceptibility values for draining veins, indicating an increased oxygen extraction fraction that might be associated with venous congestion.

Heart Related Disease: Chest CT Interpretation (흉부 CT 판독 시 보이는 심장 관련 질환)

  • Kim, Mi-Young
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.2
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    • pp.127-143
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    • 2004
  • Computed tomography (CT) plays an important supplementary role in the evaluation of patients with heart disease. CT can be used to evaluate the aorta, pulmonary artery, pulmonary vein, cardiac chambers, coronary artery, valves and systemic veins (superior vena cava, inferior vena cava and hepatic veins). The "Learning Objectives" describe the normal anatomy and typical pathological conditions seen on axial scans and reformatted images from CT in patients with heart disease, focusing focus on frequent, fatal, and rare but characteristic diseases encountered in routine practice.

A Case of Varicose Veins of the Lower Limbs with Cerebral infarction Treated with Guibi-tang (귀비탕(歸脾湯)으로 호전된 뇌경색을 동반한 하지정맥류 환자 치험 1례)

  • Lee, Hae-Yeon;Cho, Hyun-Seok;Kim, Jung-Chul;Lee, Jae-Eun;Lee, Jae-Jun;Bae, Dong-Joo;Kong, Kyung-Hwan;Baik, Tae-Hyun;Park, Jung-Han
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.633-639
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    • 2004
  • A varicose vein of the lower limbs is dilated, tortuous and elongated vein. Western medical treatment involves conservative management, sclerotherapy, and surgery. Currently, internal medicinal treatment is inadequate. Recently a patient was diagnosed with varicose veins of the lower limbs based on clinical symptoms. In this case, Guibi-tang was administered and clinical symptoms improved. This report suggests that oriental medicinal treatment is efficacious in treating varicose veins of the lower limbs. We think that further oriental medical studies on various surgical diseases are needed.

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Prosthetic Grafting and Arteriovenous Fistula for the Surgical Management of a Common Femoral Vein Injury Using a Staged Approach

  • Son, Kuk Hui;Lee, So Young;Kang, Jin Mo;Choi, Chang Hu;Park, Kook Yang;Park, Chul Hyun
    • Journal of Chest Surgery
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    • v.50 no.2
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    • pp.133-136
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    • 2017
  • A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged procedure. During the first stage, a ringed polytetrafluoroethylene graft was used to repair the common femoral vein, and an arteriovenous fistula was constructed from the femoral artery to the graft using a short segment of cephalic vein to increase graft patency. The edema was relieved postoperatively and the graft was patent. During the second stage, which was performed 6 months later, the fistula was occluded by coil embolization. The staged procedure described herein provides an alternative for venous reconstruction when autologous vein is unavailable.

Contour-based Procedural Modeling of Leaf Venation Patterns (컨투어기반 잎맥 패턴의 절차적 모델링)

  • Kim, Jin-Mo
    • Journal of Korea Game Society
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    • v.14 no.5
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    • pp.97-106
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    • 2014
  • This study proposes an efficient method to model various and diverse leaves required to express digital plants such as flowers and trees in virtual landscape easily and intuitively. The proposed procedural method divides a leaf mainly into a blade and vein thereby detecting contours from binary images that correspond to blades and generating leaves by modeling leaf veins procedurally based on the detected contours. First of all, a complicated leaf vein structure is divided into main veins, lateral veins, and tertiary vein while all veins grow procedurally directing from start auxin to destination auxin. Here, to calculate destination auxin required for growth automatically, approximated contours from binary images that correspond to blades are found thereby calculating candidate destination auxin. Finally, natural digital leaves are generated by applying a color combination method. Through the proposed method, natural and various leaves can be generated and whether the proposed method is efficient or not is verified through the experiment.

Multiple venous anastomoses decrease the need for intensive postoperative management in tamai zone I replantations

  • Ryu, Deok Hyeon;Roh, Si Young;Kim, Jin Soo;Lee, Dong Chul;Lee, Kyung Jin
    • Archives of Plastic Surgery
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    • v.45 no.1
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    • pp.58-61
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    • 2018
  • Background Venous anastomosis is an important component of digital replantation, but is not always feasible, as some cases require external bleeding to treat venous congestion in the replanted tissue. In the present study, we evaluated the relationship between the number of vein anastomoses and the survival rate of Tamai zone I replantations. Methods A retrospective review was performed of all patients who underwent replantation of a fingertip amputation between 2014 and 2016. Patient charts were reviewed for demographic information, the mechanism of injury, the number of venous anastomoses, and the use of anticoagulation, external bleeding, and/or leeches. The cohort was divided into 3 groups depending on the number of venous anastomoses: no veins (group 1), a single vein (group 2), and 2 or more veins (group 3). Survival rates and external bleeding rates were analyzed across the groups. Results The review identified 143 fingertip replantations among 134 patients. The overall survival rate was 94% (135 of 143). Failures were due equally to venous complications (n=4, 50%) and to arterial complications (n=4, 50%). Our analysis did not identify any correlation between the number of veins anastomosed and the replant survival rate (P=0.689). However, a greater number of anastomoses was associated with a significantly lower frequency of external bleeding (P=0.017). Conclusions The number of venous anastomoses was not correlated with the survival rate. However, a greater number of venous anastomoses was associated with a decreased need for external bleeding, corresponding to a significant decrease in the need for postoperative monitoring and leech therapy.