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  9. Selected Veins of the Thorax

Selected Veins of the Thorax

Note: Many veins follow the branching and distribution pattern of the artery of the same name. This table contains veins that do not travel with an artery of the same name, or that run an independent course from the artery of the same name.

VeinTributariesDrains IntoRegions DrainedNotes
accessory hemiazygos v.left posterior intercostal vv. 4-7 or 8, left bronchial vv., esophageal vv.azygos v.mid levels of the left posterolateral chest wallthe azygos system is variable, and levels drained by the accessory hemiazygos v. may vary
anterior cardiac v.no named veins are tributary to these vesselsright atriumanterior surface of the right ventricleanterior cardiac vv. cross the superficial surface of the right coronary a.
ascending lumbar v.lumbar vv. 1-4right: azygos v.; left: hemiazygos v.posterior abdominal wallascending lumbar v. connects adjacent lumbar vv.
azygos v.formed by the union of the ascending lumbar v. and the subcostal v.; tributaries: posterior intercostal vv. 11-2 (right superior intercostal), hemiazygos v., accessory hemiazygos v., esophageal v., right bronchial v.posterior surface of the superior vena cavalateral and posterior walls of the abdomen and chest; esophagus; bronchial treemay connect with the inferior vena cava; arch of azygos passes superior to the root of the lung
brachiocephalic v.formed by the union of the subclavian v. and the internal jugular v.; tributaries: vertebral v., thymic v., inferior thyroid v., internal thoracic v., 1st posterior intercostal v., left superior intercostal v. (to the left brachiocephalic v.)the left and right brachiocephalic vv. unite to form the superior vena cavahead; neck; upper limb; anterior chest wallat its origin, the left brachiocephalic v. receives the thoracic duct; at its origin, the right brachiocephalic v. receives the right lymphatic duct
cardiac, anteriorno named veins are tributary to these vesselsright atriumanterior surface of the right ventricleanterior cardiac vv. cross the superficial surface of the right coronary a.
cardiac, greatventricular vv.unites with the oblique v. of the left atrium to form the coronary sinusregion of the heart near the anterior interventricular sulcusgreat cardiac v. is the longest of the cardiac vv.; it accompanies the anterior interventricular a.
cardiac, middleventricular vv.coronary sinusregion of the heart near the posterior interventricular sulcusmiddle cardiac v. accompanies the posterior interventricular a.
cardiac, smallno named veins are tributary to this vesselcoronary sinusregion of the heart near the inferior vena cava and right coronary sulcussmall cardiac v. courses through the coronary sulcus with the right coronary a.
cardiac, smallestno named veins are tributary to these small vesselsdrain directly into the heart chambers, particularly the atriamyocardiumalso known as: Thebesian vv.; least cardiac vv.; venae cordis minimae
coronary sinusformed by the union of the great cardiac v. and the oblique v. of the left atrium; tributaries: middle cardiac v., small cardiac v.right atriumheart, except the region drained by the anterior cardiac vv. and the smallest cardiac vv.coronary sinus is located in the coronary (atrioventricular) sulcus; its opening into the right atrium is guarded by an imperfect valve
esophageal v.tributaries are unnamedazygos v.; hemiazygos v.esophagusesophageal vv. connect with the esophageal brs. of the left gastric, forming a potential portal-caval venous anastomosis (esophageal varices when enlarged)
great cardiac v.ventricular vv.unites with the oblique v. of the left atrium to form the coronary sinusregion of the heart near the anterior interventricular sulcusgreat cardiac v. is the longest of the cardiac vv.; it accompanies the anterior interventricular a.
hemiazygos v.formed by the joining of the left ascending lumbar v. and the left subcostal v.; tributaries: left posterior intercostal vv. 8 or 9-11; esophageal vv.azygos v. inferior levels of the left posterolateral chest wallthe azygos system is variable, and levels drained by the hemiazygos v. may vary
hemiazygos, accessoryleft posterior intercostal vv. 4-7 or 8, left bronchial vv., esophageal vv.azygos v.mid levels of the left posterolateral chest wallthe azygos system is variable, and levels drained by the accessory hemiazygos v. may vary
intercostal, posteriorlateral cutaneous br.1st: brachiocephalic v.; 2nd-4th: superior intercostal v.; right 5th-11th: azygos v.; left 5th-7th or 8th: accessory hemiazygos v.; left 9th-11th: hemiazygos v. intercostal space including skin, muscles and adjacent ribs; the spinal cord at that segmental level and the corresponding vertebrathe difference in termination of the intercostal vv. of the left and right sides is explained by the embryonic origin of the azygos system from the (originally symmetrical) supracardinal vv.
intercostal, superior2nd-4th posterior intercostal vv.right: arch of the azygos v.; left: left brachiocephalic v,intercostal spaces 2-4superior intercostal v. develops from the cephalic end of the supracardinal v. in the embryo
lumbar, ascendinglumbar vv. 1-4right: azygos v.; left: hemiazygos v.posterior abdominal wallascending lumbar v. connects adjacent lumbar vv.
middle cardiac v.ventricular vv.coronary sinusregion of the heart near the posterior interventricular sulcusmiddle cardiac v. accompanies the posterior interventricular a.
oblique v. of the left atriumno named tributaries coronary sinusleft auricle and a small portion of the left atriumoblique v. of the left atrium is the remnant of the embryonic left superior vena cava, the proximal portion of which forms the coronary sinus
posterior intercostal v.lateral cutaneous br.1st: brachiocephalic v.; 2nd-4th: superior intercostal v.; right 5th-11th: azygos v.; left 5th-7th or 8th: accessory hemiazygos v.; left 9th-11th: hemiazygos v. intercostal space including skin, muscles and adjacent ribs; the spinal cord at that segmental level and the corresponding vertebrathe difference in termination of the intercostal vv. of the left and right sides is explained by the embryonic origin of the azygos system from the (originally symmetrical) supracardinal vv.
pulmonary v.lobar vv.left atriumlungsthere are usually two pulmonary vv. per side, (superior and inferior)
superior intercostal v.2nd-4th posterior intercostal vv.right: arch of the azygos v.; left: left brachiocephalic v,intercostal spaces 2-4superior intercostal v. develops from the cephalic end of the supracardinal v. in the embryo
superior vena cavaformed by the union of the paired brachiocephalic vv.; tributary: azygos archright atriumall of the body above the level of the diaphragm except for those regions drained by the pulmonary vv. and coronary vv.superior vena cava is formed posterior to the first costal cartilage on the right side
thoracoepigastric v.numerous vv. of the superficial fascialateral thoracic v.skin and superficial fascia of the anterolateral body wallthoracoepigastric v. connects the superficial circumflex iliac v. and the superficial epigastric v. - it can serve as collateral drainage when the inferior vena cava is blocked
vena cava, inferior formed by the union of the paired common iliac vv; tributaries: lumbar vv. 1-4, right ovarian/testicular v., renal vv., right suprarenal v., right inferior phrenic v., hepatic vv.right atriumall of the body below the level of the respiratory diaphragmthe inferior vena cava is longer than the abdominal aorta
vena cava, superiorformed by the union of the paired brachiocephalic vv.; tributary: azygos archright atriumall of the body above the level of the diaphragm except for those regions drained by the pulmonary vv. and coronary vv.superior vena cava is formed posterior to the first costal cartilage on the right side
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