Bilateral Medially Duplicated Internal Jugular Veins in an 85-Year-Old Female Donor

Teresa Buescher; ENS Olivia Staser; Maria Ximena Leighton; Kerrie Lashley; Elizabeth Maynes; Rodrigo Mateo; Guinevere Granite

doi:10.61797/ijcsav.v5i1.310

Teresa Buescher The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD 20814, USA
ENS Olivia Staser F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, USA
Maria Ximena Leighton Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
Kerrie Lashley Department of Anatomy and Cell Biology, George Washington School of Medicine & Health Sciences, Washington DC, 20037 USA
Elizabeth Maynes Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
Rodrigo Mateo Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
Guinevere Granite Director of Human Anatomy, Department of Surgery, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, A3020C, Bethesda, MD, USA https://orcid.org/0000-0003-3953-2250

DOI: https://doi.org/10.61797/ijcsav.v5i1.310

Keywords: Duplicated internal jugular vein, Neck venous anatomical variation, Bilateral anomalous internal jugular veins

Abstract

An 85-year-old female donor prosected during an advanced anatomy graduate nursing course in 2023 was found to have bilateral anomalous internal jugular veins. These were classified as duplications as opposed to fenestrations, as each vein entered the subclavian vein separately. These variations have been classified into types A, B, and C. Type A is classified as a high fenestration joining to make a single entry into the subclavian vein. Type B is a duplication from just below the jugular foramen to the subclavian vein. Type C is a duplication starting commensurate to the hyoid bone with a laterally duplicated segment crossing the posterior triangle and making separate entry into the subclavian vein. This donor possesses a Type C bilateral medial variation with the duplicated limb descending medial to the carotid sheath and entering the subclavian vein lateral to the limb in standard position. Clinical ramifications and current literature are discussed.