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The bronchial veins are small vessels that return blood from the larger bronchi and structures at the roots of the lungs. 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 drain venous blood from the large main bronchi into the azygous vein, and ultimately the right atrium. 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 ...
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.
There are four main pulmonary veins, two from each lung – an inferior and a superior main vein, emerging from each hilum. The main pulmonary veins receive blood from three or four feeding veins in each lung, and drain into the left atrium. The peripheral feeding veins do not follow the bronchial tree.
It helps to divide the trachea into two primary bronchi. The right bronchus makes an angle of 25°, while the left one makes an angle of 45°. The carina is a sensitive area. When the patient is made to lie on their left side, secretions from the right bronchial tree flow toward the Carina due to the effect of gravity.
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.
Drainage Territories: Although these trunks generally drain the mediastinum, lungs, and associated structures, the specific regions of the thorax drained by each trunk can vary. This is particularly important in surgical settings, such as during lymph node dissections or in evaluating the lymphatic spread of thoracic cancers.
The small cardiac veins are responsible for venous return of 10% of the coronary blood supply. [7] The small cardiac venous network is considered an alternative venous drainage of the myocardium . The smallest cardiac veins draining into the left heart, along with deoxygenated blood originating from the bronchial veins draining into the ...