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With each of the newborn's breaths, blood perfuses the pulmonary capillary beds and undergoes oxygenation before exiting the lungs via the pulmonary veins and returning to the heart. Thus, as more blood flows through the pulmonary circulation, there will be a higher volume of blood returning to the left atrium from the lungs.
The pathway of fetal umbilical venous flow is umbilical vein left portal vein ductus venosus inferior vena cava eventually right atrium.. This anatomic course is important to recall when assessing the success of neonatal umbilical venous catheterization, as failure to cannulate through the ductus venosus results in malpositioned hepatic catheterization via the left or right portal veins.
The unpaired umbilical vein carries oxygen and nutrient rich blood derived from fetal-maternal blood exchange at the chorionic villi.More than two-thirds of fetal hepatic circulation is via the main portal vein, while the remainder is shunted from the left portal vein via the ductus venosus to the inferior vena cava, eventually being delivered to the fetal right atrium.
The left brachiocephalic vein is more than twice the length of the right brachiocephalic vein. [3] These veins merge to form the superior vena cava, a great vessel, posterior to the junction of the first costal cartilage with the manubrium of the sternum. [3] The brachiocephalic veins are the major veins returning blood to the superior vena ...
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 .
When the baby is born, the lungs are needed for oxygen transfer and need high blood flow which is encouraged by low PVR. The failure of the circulatory system of the newborn to adapt to these changes by lowering PVR leads to persistent fetal circulation. [2] The newborn is therefore born with elevated PVR, which leads to pulmonary hypertension.
It drains the intercostal veins, although the posterior drainage is often handled by the azygous veins. [1] It terminates in the brachiocephalic vein. [2] It has a width of 2-3 mm. [3] There is either one or two internal thoracic veins accompanying the corresponding artery (internal thoracic artery). If internal thoracic vein is single, it ...
Chest X-ray: On chest X-ray (CXR), transposition of the great vessels typically shows a cardio-mediastinal silhouette appearing as an "egg on a string", in which the enlarged heart represents an egg on its side and the narrowed, atrophic thymus of the superior mediastinum represents the string. [4]