Internal jugular valve incompetence Review article
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Published:
Sep 30, 2009
Keywords:
internal jugular vein valve incompetence
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Abstract
Internal jugular vein valve is the only valve between right atrium of the heart and the cerebral vessels and prevent retrograde cerebral venous flow. This paper is the literature review which provides a brief update on prevalence of internal jugular valve incompetence in central system disorders related to cerebral outflow obstruction and hypotheses of its causal relation. Internal jugular valve incompetence was described in patients with heart failure, tricuspid insufficiency, COPD, asthma, primary pulmonary hypertension and after a cannulation of the internal jugular valve or due to other cardiac surgical procedures. It is postulated to provoke cough syncope, primary exertional headache and idiopathic normal pressure hydrocephalus.
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Gadomska , Łucja, & Styczyński , G. (2009). Internal jugular valve incompetence. Cardiology in Practice, 3(3), 98-102. Retrieved from https://www.journalsmededu.pl/index.php/kwp/article/view/1652
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Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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References
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2. Franklin K.J.: Valves in Veins: An Historical Survey. Proc. R. Soc. Med. 1927, 21(1): 1-33.
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13. Dresser L.P., McKinney W.M.: Anatomic and patophysiologic studies of the human internal jugular valve. Am. J. Surg. 1987, 154: 220-224.
14. Harris D.N., Bailey S.M., Smith P.L.C., Taylor K.M., Oartrige A., Bydder G.M.: Brain swelling in first hour after coronary artery bypass surgery. Lancet 1993, 342: 586-587.
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16. Nedelmann M., Teschner D., Dieterich M.: Analysis of internal jugular vein insufficiency – a comparison of two ultrasound methods. Ultrasound. in Med. & Biol. 2007, 33(6): 857-862.
17. Doepp F., Bähr D., John M., Hoernig S., Valdueza J.M., Schreiber S.J.: Internal jugular vein valve incompetence in COPD and primary pulmonary hypertension. J. Clin. Ultrasound. 2008, 36(8): 480-4.
18. Nedelmann M., Eicke B.M., Dieterich M.: Functional and morphological criteria of internal jugular valve insufficiency as assessed by ultrasound. J. Neuroimagin. 2005, 15(1): 70-5.
19. Beckman T.J.: Syncope in an Adult With Uncontrolled Asthma. South Med. J. 2002, 95(3): 369-370.
20. Mattle H.P., Nirkko A.C., Baumgartner R.W., Sturzenegger M.: Transient cerebral circulatory arrest coincides with fainting in cough syncope. Neurology 1995, 45: 498-501.
21. Sharpey-Schafer E.P.: Efects of coughing on intrathoracic pressure, arterial pressure and peripherial blood flow. J. Physiol. 1953, 122: 351-357.
22. Sharpey-Schafer E.P.: The Mechanism of Syncope After Coughing. Br. Med. J. 1953 October 17, 2(4841): 860-863.
23. Krediet P., Wieling W.: Edward P. Sharpey-Schafer was right: evidence for systemic vasodilatation as a mechanism of hypotension in cough syncope. Europace 2008 Apr, 10(4): 486-8.
24. Bonekat H.W., Miles R.M., Staats B.A.: Smoking and cough syncope: follow-up in 45 cases. Int. J. Addict. 1987, 22: 413-19.
25. Lewis S.L.: Aetiology of transient global amnesia. Lancet 1998, 352(9125): 397-9.
26. Sander D., Winbeck K., Etgen T., Knapp R., Klingelhöfer J., Conrad B.: Disturbance of venous flow patterns in patients with transient global amnesia. Lancet 2000 Dec 9, 356(9246): 1982-4.
27. Akkawi N.M., Agosti C., Rozzini L., Anzola G.P., Padovani A.: Transient global amnesia and venous flow patterns. Lancet 2001 Feb 24, 357(9256): 639.
28. Akkawi N.M., Agosti Ch., Anzola G.P., Borroni B., Magoni M., Pezzini A., Rozzini L., Vignolo L.A., Padovani A.: Transient global amnesia: a clinical and sonographic study. Eur. Neurol. 2003, 49: 67-71.
29. Schreiber S.J., Doepp F., Klingebiel R., Valdueza J.M.: Internal jugular vein valve incompetence and intracranial venous anatomy in transient global amnesia. J. Neurol. Neurosurg. Psychiatry 2005, 76: 509-513.
30. Chung C.P., Hsu H.Y., Chao A.C., Sheng W.Y., Soong B.W., Hu H.H.: Transient global amnesia: cerebral venous outflow impairment-insight from the abnormal flow patterns of the internal jugular vein. Ultrasound. Med. Biol. 2007 Nov, 33(11): 1727-35.
31. Doepp F., Valdueza J.M., Schreiber S.J.: Incompetence of internal jugular valve in patients with primary exertional headache: a risk factor? Cephalalgia 2008, 28(2): 182-5.
32. Pascual J.: Primary cough headache. Curr. Pain Headache Rep. 2005 Aug, 9(4): 272-6.
33. Pascual J., González-Mandly A., Martín R., Oterino A.: Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J. Headache Pain. 2008 Oct, 9(5): 259-66.
34. Chen P.K., Fuh J.L., Wang S.J.: Cough headache: a study of 83 consecutive patients. Cephalalgia 2009 Mar 17. DOl 10.1111/j.1468- 2982.2009.01844.x.
35. Chuang Y.M., Hu H.H.: Cough headache and thoracic inlet valvular competence in uremia. Eur. Neurol. 2005, 53(2): 78-80.
36. Nagato K., Takahiko T., Junichi M., Natsuko T., Masaki K., Masanori N.: Retrograde Jugular Flow Associated with Idiopathic Normal Pressure Hydrocephalus. Ann. Neurol. 2008, 64: 217-221.
2. Franklin K.J.: Valves in Veins: An Historical Survey. Proc. R. Soc. Med. 1927, 21(1): 1-33.
3. Fisher J., Vaghaiwalla F., Tsitlik J., Levin H., Brinker J., Weisfeldt M., Yin F.: Determinants and clinical significance of jugular venous valve competence. Circulation 1982, 65: 188-196.
4. Akkawi N.M., Agosti Ch., Borroni B., Rozzini L., Magoni M., Vignolo L.A., Padovani A.: Jugular valve incompetence: a study using air contrast ultrasonography on a general population. J. Ultrasound. Med. 2002, 21: 747-751.
5. Paradis N.A., Martin G.B., Goetting M.G., Rosenberg J.M., Rivers E.P., Appleton T.J., Nowak R.M.: Simultaneous aortic, jugular bulb and right atrial pressures during cardiopulmonary resuscitation in humans. Insights into mechanism. Circulation 1989, 80: 361-368.
6. Czernicki Z., Jurkiewicz J.: Wodogłowie. W: Zarys neurochirurgii. Ząbek M. (red.). Warszawa, PZWL 1999.
7. Imai M., Hanaoka Y., Murakami F., Sugawara K., Kemmotsu O., Sasaki K.: Valve injury: a new complication of internal jugular vein cannulation. Masui. 1992, 41(6): 973-8.
8. Silva M.A., Deen K.I., Fernando D.J., Sheriffdeen A.H.: The internal jugular vein valve may have a significant role in the prevention of venous reflux: evidence from live and cadaveric human subjects. Clin. Physiol. Funct. Imaging 2002, 22(3): 202-5.
9. Drobnik L.: Intensywna terapia neurochirurgiczna. W: Zarys neurochirurgii. Ząbek M. (red.). Warszawa, PZWL 1999.
10. Imai M., Hanoaka Y., Kemmotsu O.: Valve injury: a new complication of internal jugular vein cannulation. Anesth. Analg. 1994, 78: 1041-1046.
11. Harmon J.V. Jr., Edwards W.D.: Venous valves in subclavian and internal jugular veins. Frequency, position and structure in 100 autopsy cases. Am. J. Cardiovasc. Pathol. 1987, 1: 51-54.
12. Wu X., Studer W., Erb T., Skarvan K., Seeberger M.D.: Competence of the internal jugular vein valve is damaged by cannulation and catheterization of the internal jugular vein. Anesthesiology 2000, 93: 319-324.
13. Dresser L.P., McKinney W.M.: Anatomic and patophysiologic studies of the human internal jugular valve. Am. J. Surg. 1987, 154: 220-224.
14. Harris D.N., Bailey S.M., Smith P.L.C., Taylor K.M., Oartrige A., Bydder G.M.: Brain swelling in first hour after coronary artery bypass surgery. Lancet 1993, 342: 586-587.
15. Dąbrowski W., Nestorowicz A.: Fizjologia i patofizjologia zastawki żyły szyjnej wewnętrznej w warunkach krążenia pozaustrojowego. Anestezjologia i Intensywna Terapia 2005, 37: 53-56.
16. Nedelmann M., Teschner D., Dieterich M.: Analysis of internal jugular vein insufficiency – a comparison of two ultrasound methods. Ultrasound. in Med. & Biol. 2007, 33(6): 857-862.
17. Doepp F., Bähr D., John M., Hoernig S., Valdueza J.M., Schreiber S.J.: Internal jugular vein valve incompetence in COPD and primary pulmonary hypertension. J. Clin. Ultrasound. 2008, 36(8): 480-4.
18. Nedelmann M., Eicke B.M., Dieterich M.: Functional and morphological criteria of internal jugular valve insufficiency as assessed by ultrasound. J. Neuroimagin. 2005, 15(1): 70-5.
19. Beckman T.J.: Syncope in an Adult With Uncontrolled Asthma. South Med. J. 2002, 95(3): 369-370.
20. Mattle H.P., Nirkko A.C., Baumgartner R.W., Sturzenegger M.: Transient cerebral circulatory arrest coincides with fainting in cough syncope. Neurology 1995, 45: 498-501.
21. Sharpey-Schafer E.P.: Efects of coughing on intrathoracic pressure, arterial pressure and peripherial blood flow. J. Physiol. 1953, 122: 351-357.
22. Sharpey-Schafer E.P.: The Mechanism of Syncope After Coughing. Br. Med. J. 1953 October 17, 2(4841): 860-863.
23. Krediet P., Wieling W.: Edward P. Sharpey-Schafer was right: evidence for systemic vasodilatation as a mechanism of hypotension in cough syncope. Europace 2008 Apr, 10(4): 486-8.
24. Bonekat H.W., Miles R.M., Staats B.A.: Smoking and cough syncope: follow-up in 45 cases. Int. J. Addict. 1987, 22: 413-19.
25. Lewis S.L.: Aetiology of transient global amnesia. Lancet 1998, 352(9125): 397-9.
26. Sander D., Winbeck K., Etgen T., Knapp R., Klingelhöfer J., Conrad B.: Disturbance of venous flow patterns in patients with transient global amnesia. Lancet 2000 Dec 9, 356(9246): 1982-4.
27. Akkawi N.M., Agosti C., Rozzini L., Anzola G.P., Padovani A.: Transient global amnesia and venous flow patterns. Lancet 2001 Feb 24, 357(9256): 639.
28. Akkawi N.M., Agosti Ch., Anzola G.P., Borroni B., Magoni M., Pezzini A., Rozzini L., Vignolo L.A., Padovani A.: Transient global amnesia: a clinical and sonographic study. Eur. Neurol. 2003, 49: 67-71.
29. Schreiber S.J., Doepp F., Klingebiel R., Valdueza J.M.: Internal jugular vein valve incompetence and intracranial venous anatomy in transient global amnesia. J. Neurol. Neurosurg. Psychiatry 2005, 76: 509-513.
30. Chung C.P., Hsu H.Y., Chao A.C., Sheng W.Y., Soong B.W., Hu H.H.: Transient global amnesia: cerebral venous outflow impairment-insight from the abnormal flow patterns of the internal jugular vein. Ultrasound. Med. Biol. 2007 Nov, 33(11): 1727-35.
31. Doepp F., Valdueza J.M., Schreiber S.J.: Incompetence of internal jugular valve in patients with primary exertional headache: a risk factor? Cephalalgia 2008, 28(2): 182-5.
32. Pascual J.: Primary cough headache. Curr. Pain Headache Rep. 2005 Aug, 9(4): 272-6.
33. Pascual J., González-Mandly A., Martín R., Oterino A.: Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J. Headache Pain. 2008 Oct, 9(5): 259-66.
34. Chen P.K., Fuh J.L., Wang S.J.: Cough headache: a study of 83 consecutive patients. Cephalalgia 2009 Mar 17. DOl 10.1111/j.1468- 2982.2009.01844.x.
35. Chuang Y.M., Hu H.H.: Cough headache and thoracic inlet valvular competence in uremia. Eur. Neurol. 2005, 53(2): 78-80.
36. Nagato K., Takahiko T., Junichi M., Natsuko T., Masaki K., Masanori N.: Retrograde Jugular Flow Associated with Idiopathic Normal Pressure Hydrocephalus. Ann. Neurol. 2008, 64: 217-221.