(1998) documented 100 axillary dissections in which they found 29 cases of anatomical variations that included vascular, nerve and muscular variations, which could be relevant during surgery of the axillary fossa, such as ligation of the axillary artery, excision of the axillary vein
or resection of lymph nodes.
Upper extremity doppler ultrasound performed upon detecting a swelling on the left arm revealed a thrombosis in vena basilica in the 5th segment extending to the point where the axillary vein
A computed tomography of the neck with contrast at the time showed two confluent masses in the right axillary and right supraclavicular regions encasing the right subclavian and axillary vein
, the internal mammary artery, and narrowing of the lower internal jugular vein.
It continues along the lateral border of the biceps muscle to the deltopectoral groove and perforates the clavipectoral fascia to drain into the axillary vein
A bedside compression venous ultrasound of the right upper extremity that included the brachial veins, the axillary vein
, the subclavian vein, and the internal jugular vein was performed revealing a distended, incompressible right subclavian vein which contained a visible intraluminal thrombus.
Neurological examination, Doppler ultrasound of the axillary vein
, and axillary magnetic resonance imaging findings were normal.
All the nerves ulnar, radial, median, musculocutaneous nerve and the axillary vein
were carefully dissected away from the lipoma and a suction drain was kept.
After the lead was extracted surgically, the tip of a new permanent pacemaker lead was placed at the ventricular septum via the right axillary vein
The aim of this study was to assess the efficacy and safety of optimized axillary vein
Of the venous injuries, internal jugular and axillary vein
injuries comprised the highest number (6%), followed by subclavian vein injuries (5%).
A duplex ultrasound of the right upper arm revealed an acute occlusive thrombus in the axillary vein
. We started the patient on intravenous heparin.