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It is formed by the folding of the serous layer over the remnant of the lower part of the left superior vena cava (duct of Cuvier), which becomes obliterated during fetal life, and remains as a fibrous band stretching from the highest left intercostal vein to the left atrium, where it is continuous with a small cardiac vein, the vein of the ...
It is provided with two pairs of valves, the lower pair being placed at its entrance into the subclavian vein, the upper in most cases about 4 cm above the clavicle. The portion of vein between the two sets of valves is often dilated, and is termed the sinus.
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption of lipids , by allowing products that have been carried by lymph in the thoracic duct to enter the ...
The left and right external jugular veins drain into the subclavian veins. The internal jugular veins join with the subclavian veins more medially to form the brachiocephalic veins. Finally, the left and right brachiocephalic veins join to form the superior vena cava, which delivers deoxygenated blood to the right atrium of the heart. [2]
The oblique vein of the left atrium (oblique vein of Marshall) is a small vein which descends obliquely on the back of the left atrium and ends in the coronary sinus near its left extremity; it is continuous above with the ligament of the left vena cava (vestigial fold of Marshall), and the two structures form the remnant of the left Cuvierian duct.
In persistent left superior vena cava, the left brachiocephalic vein does not develop fully and the left upper limb and head and neck drain into the right atrium via the coronary sinus. [ 5 ] In isolation, the variation is considered benign, but is very frequently associated with cardiac abnormalities (e.g. ventricular septal defect ...
As the valve forms, the vein wall where the leaflets attach, becomes dilated on each side. These widenings form the pockets, hollow cup-shaped regions, on the cardial side, known as the valvular sinuses. [22] The endothelial cells in the sinuses are able to stretch twice as much as those in areas without valves. [22]
The venous angle (also known as Pirogoff's angle and in Latin as angulus venosus) is the junction where the ipsilateral internal jugular vein and subclavian vein unite to form the ipsilateral brachiocephalic vein. [1] [2] The thoracic duct drains at the left venous angle, and the right lymphatic duct drains at the right venous angle.