veins Meng Yang
Anatomy Department, School of Medicine, WuHan University
Veins The veins carry deoxygenated blood from the body tissues and organs to the right atrium of the heart.
Feature of the vein •
Larger, thinner , the capacity is grater paired valves ; • Two sets Sup. one of veins Deep one follows an a. • Aboundant anastomoses • Special forms inclouding diploic vein and sinus of dura mater .
Main System Pulmonary veins Systemic veins V. V of heart
Heart
Superior vena cava (Upper half of body) Inferior vena cave (Lower half of body)
Head and neck Upper limbs Chest (except heart and lungs)
Hepatic portal v. system Abdominal region (unpaired organs except liver) Pelvic part Lower limbs
1.Superior vena cava and its tributaries Formation & Course of the Superior vena cava Union of the brachiocephalic veins Descends and drains in to the right atrium
Tributaries of the Superior vena cava Brachiocephalic v. Subclavian Upper limbs v. Internal jugular Head and neck v. Azygos v. Chest Sup. vena cava
Azygos v.
Inf. vena cava.
Azygos v.
(1)Veins of the head and neck 1)Internal jugular v. 10 Facial v. 1 Sup. v. Superficial temporal v. 2 Pterygoid venous plexus 3 Deep facial v. 4 Maxillary v 5 Retromandibular v. 6 2) External jugular v. 7 Posterior auricular v. 8 Occipital v. 3) Subclavian v. 9 Venous angle
Sup. v.
Communications of the veins in the head and neck IJV . Facial v. D
fa c
Aurivular v. Occipital v.
EJV. SCV. Axillary v.
ia l
v.
Pterygoid v. plexus Foramen of vesalius
Maxillary v. Superficial Posterior temporal branche v.
No valves
Cavernous sinus
Dangerous Triangle of Face
Ophthalmic V.
Retroman dibular v.
ee p
Angular v.
Foramen ovale
Brachiocephalic v.
Common facial v. Anterior branche
Sup. v. Deep v.
(2)Veins of upper limb Veins two sets , both are provided with valves :
Superficial v.v.
radial side
palmar venous arches
Cephalic v. Median cubital v. Basilica v.
ulnar side
dorsal venous network
Site for veinpuncture
Deep v.v. Ulnar v. Radial v.
Brachial v.
Axillary v. Subclavian v.
(3)Veins of thorax
Tributary v. V. of thorax
Superior vena cava
Right atrinum
Brachiocephalic veins
Azygos v. Esophageal v.
Post. intercostals v.
(upper part of left thorax)
Accessory hemiazygos v. Hemiazygos v.
Bronchial v.
Esophageal v. Bronchial v.
Post. intercostals v.
Post. intercostals v.
(lower part of left thorax)
diaphragm
Right and left ascending lumbar veins
2.Inferior vena cava and its tributaries (1) Inferior vena cava Formation & Course Confluence of the common iliac veins Ascends ant. the vertebral column , right to the abdominal aorta thorax right atrium.
Tributaries of the IVC Veins draining the pelvis Veins draining the lower limb Veins draining the abdomen (unpaired organs except liver) Hepatic portal venous system
(2) Veins of the pelvic part Common iliac v. In front of the sacroiliac joint
Internal iliac v.
Greater sciatic foramen
Ant. vertebra L5 unite to form the IVC
External iliac v.
Veins draining the Parietal Visceral lower limb and lower tributaries part of the abdominal wall. Sup. gluteal v. Int. pudendal v. Inf. gluteal v. Inf. rectal v. Obturator v. venous Vesical v. plexuses Uterine v.
(3)Veins of lower limb
V. of lower limb
Veins: Two sets contain more plentiful valves than those in the upper limb
Superficial v.v. Ant. Med. malleolus
Med.s ide
Great saphenous v.
medial side leg and thigh
dorsal venous arch Lat. side
Deep v.v. Ant. Post. tibial v.
midline back of leg
Sup. iliac circumflex v Sup. Lat. femoral v. Sup.Med.femorl v. Ext.pudendlal v. post. Lat. Small malleolus saphenous v. Sup.epigastic v.
Popliteal v.
adductor tendinous opening
Femoral v. Ext. iliac v.
Tributary v.
Communications between superficial and deep veins Varicosity of the lower limb
(4) Tributaries of the Inferior vena cave Parietal tributaries Inf. phrenic v. Lumbar v. Ascending lumbar v. Visceral tributaries Testicular / Ovarian Suprarenalv.v. Renal v. Hepatic v.
(Left, middle and right)
Venous sinusoids of liver
Tributary v. of IVC
(5) Hepatic portal venous system Conception the veins drain blood from the abdominal part of GI tract, spleen, pancreas and gallbladder, exception for the lowest part of the rectum, anal canal and liver.
Chracteristics • Beginning with capillaries in the viscera and ends with capillaries in the liver. • The hepatic portal vein and its tributaries are devoid of valves.
• Having numerous connections with the vena cava system.
Formation of the hepatic portal vein union of the superior mesenteric and splenic veins behind the neck of pancreas.
Main tributaries of the hepatic portal vein Superior mesenteric v. Hepatic portal v.
Liver
Splenic v. Inferior mesenteric v. left colic v. superior rectal v. Pancreatic v. Left gastroepiploic v. Right gastroepiploic v. right gastric v. left gastric v. cystic v. paraumbilical v.v
Ligamentum teres hepatis
Locations that hepatic portal venous system communicates with vena caval system Azygos v. Vena caval system
Esophageal Left v.v. gastric v. Sup. recetal v.
I.V.C.
Mid. and inf. rectal v.
Sup. and inf. epigastric v.v. Retroperi toneal v.v.
Inf. mesenteric v.
Paraumbil ical v. Twigs of Colic v.v.
Hepatic portal venous system
Portal tributary
Systemic tributary
Highlights Important concept • •
Dangerous triangle of the face Venous angle
Important contents • • • • •
Routs that facial vein communicates with cavernous sinus Superficial veins in upper and lower limbs Names of deep veins that accompany no artery Main tributaries of hepatic portal vein locations that hepatic portal venous system communicates with vena caval system
Finding and observation 1.Superior vena cava and its tributaries (1)Veins of the head and neck 1)Internal jugular v. Facial v., superficial temporal v., pterygoid venous plexus, maxillary v., and retromandibular v. 2) External jugular v. Posterior auricular v. and occipital v. 3) Subcavian v.
(2)Veins of upper limb Cephalic v., median cubital v. and basilica v. (3)Veins of thorax Superior vena cava, brachiocephalic v.v. , azygos v., hemiazygos v. and accessory hemiazygos v.
2.Inferior vena cava and its tributaries (1) Inferior vena cava (2) Veins of the pelvic part Common iliac v., internal and external iliac v. (3) Veins of lower limb Small and great saphenous v. (4) Tributaries of the Inferior vena cave Inf. phrenic v., lumbar v., suprarenal v., renal v., hepatic v. and testicular v. (5) Hepatic portal venous system Hepatic portal v., superior mesenteric v., splenic v., right gastric v. ,left gastric v. and cystic v.