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A positive Pemberton's sign is indicative of superior vena cava syndrome (SVC), commonly the result of a mass in the mediastinum.Although the sign is most commonly described in patients with substernal goiters where the goiter "corks off" the thoracic inlet, [4] the maneuver is potentially useful in any patient with adenopathy, tumor, or fibrosis involving the mediastinum.
The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm) short length vein that receives venous return from the upper half of the body, above the diaphragm .
The CAJ is the joint between the superior vena cava and the atrium. The cavoatrial junction (CAJ) is the point at which the superior vena cava meets and melds into the superior wall of the cardiac right atrium. Both the superior and inferior vena cavae enter the right atrium, but only the superior entry is called the cavoatrial junction.
The left superior vena cava is not shown in this image. In anatomy , a persistent left superior vena cava is the most common variation of the thoracic venous system . [ 1 ] [ 2 ] It is present in between 0.3% and 0.5% of the population, [ 3 ] [ 4 ] [ 5 ] and is an embryologic remnant that results from a failure to involute .
The root of the right lung lies behind the superior vena cava and part of the right atrium, and below the azygos vein.That of the left lung passes beneath the aortic arch and in front of the descending aorta; the phrenic nerve, pericardiacophrenic artery and vein, and the anterior pulmonary plexus, lie in front of each, and the vagus nerve and posterior pulmonary plexus lie behind.
In anatomy, the venae cavae (/ ˈ v iː n i ˈ k eɪ v i /; [1] sg.: vena cava / ˈ v iː n ə ˈ k eɪ v ə /; from Latin 'hollow veins') [2] are two large veins (great vessels) that return deoxygenated blood from the body into the heart. In humans they are the superior vena cava and the inferior vena cava, and both empty into the right atrium ...
The exit area is where the lumen (single, double or multiple) comes out of the thoracic wall. The catheter at the entrance is then inserted back through the entrance site and advanced into the superior vena cava, preferably near the junction of it and the right atrium of the heart. The entrance incision is sutured.
Oxygen-deprived blood from the superior and inferior vena cava enters the right atrium of the heart and flows through the tricuspid valve (right atrioventricular valve) into the right ventricle, from which it is then pumped through the pulmonary semilunar valve into the pulmonary artery to the lungs.