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The right side drains into the azygos vein, while the left side drains into the left superior intercostal vein or the accessory hemiazygos vein. Bronchial veins are thereby part of the bronchial circulation, carrying waste products away from the cells that constitute the lungs. The bronchial veins are counterparts to the bronchial arteries ...
Bronchial arteries carry oxygenated blood to the lungs; Pulmonary capillaries, where there is exchange of water, oxygen, carbon dioxide, and many other nutrients and waste chemical substances between blood and the tissues; Bronchial veins drain venous blood from the large main bronchi into the azygous vein, and ultimately the
Oxygenated blood leaves the lungs through pulmonary veins, which return it to the left part of the heart, completing the pulmonary cycle. [3] [6] This blood then enters the left atrium, which pumps it through the mitral valve into the left ventricle. [3] [6] From the left ventricle, the blood passes through the aortic valve to the aorta.
The bronchial vessels deliver nutrients and oxygen to certain lung tissues, and some of this spent, deoxygenated venous blood drains into the highly oxygenated pulmonary veins, causing a right-to-left shunt. Further, the effects of gravity alter the flow of both blood and air through various heights of the lung.
Local venous pressure falls to -5 at the apexes and rises to +15 mmHg at the bases, again for the erect lung. Pulmonary blood pressure is typically in the range 25–10 mmHg with a mean pressure of 15 mmHg. Regional arterial blood pressure is typically in the range 5 mmHg near the apex of the lung to 25 mmHg at the base.
Venous blood from the bronchi inside the lungs drains into the pulmonary veins and empties into the left atrium; since this blood never went through a capillary bed it was never oxygenated and so provides a small amount of shunted deoxygenated blood into the systemic circulation. [28] Cerebral circulation
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It is possible for cardiogenic pulmonary edema to occur together with cardiogenic shock, in which the cardiac output is insufficient to sustain an adequate blood pressure to the lungs. This can be treated with inotropic agents or by intra-aortic balloon pump , but this is regarded as temporary treatment while the underlying cause is addressed ...