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Exhalation against the closed glottis along with the traumatic event causes air that cannot escape from the thoracic cavity. Instead, the air causes increased venous back-pressure, which is transferred back to the heart through the right atrium, to the superior vena cava and to the head and neck veins and capillaries. [4]
The left and right brachiocephalic veins (previously called innominate veins) are major veins in the upper chest, formed by the union of the ipsilateral internal jugular vein and subclavian vein (the so-called venous angle) [1] behind the sternoclavicular joint. [2]
Characteristic features are edema (swelling due to excess fluid) of the face and arms and development of swollen collateral veins on the front of the chest wall. Shortness of breath and coughing are quite common symptoms; difficulty swallowing is reported in 11% of cases, headache in 6% and stridor (a high-pitched wheeze) in 4%.
An anterior chest wall deformity, pectus excavatum, in a person with Marfan syndrome. More than 30 signs and symptoms are variably associated with Marfan syndrome. The most prominent of these affect the skeletal, cardiovascular, and ocular systems, but all fibrous connective tissue throughout the body can be affected. [citation needed]
On the chest wall, patients with this disease often have abrupt onset of superficial pain, with possible swelling and redness of a limited area of their anterior chest wall or breast. There is usually a lump present, which may be somewhat linear and tender.
They are most commonly found in the head and neck. Venous malformations are the type of vascular malformation that involves the veins. They can often extend deeper from their surface appearance, reaching underlying muscle or bone. [15] In the neck they may extend into the lining of the mouth cavity or into the salivary glands. [14]
The bony skeletal part of the thoracic wall is the rib cage, and the rest is made up of muscle, skin, and fasciae.. The chest wall has 10 layers, namely (from superficial to deep) skin (epidermis and dermis), superficial fascia, deep fascia and the invested extrinsic muscles (from the upper limbs), intrinsic muscles associated with the ribs (three layers of intercostal muscles), endothoracic ...
Its tributaries are some laryngeal veins, and occasionally a small thyroid vein. [1] It descends between the median line and the anterior border of the sternocleidomastoid muscle , and, at the lower part of the neck, passes beneath that muscle to open into the termination of the external jugular vein , or, in some instances, into the subclavian ...