VEINS V. CAVA SUP. 6 cm long, 2-3 cm in diameter v. brachiocephalica dx. et sin. V. BRACHIOCEPHALICA v. jugularis interna and v. subclavia (=venous angle, angulus venosus) truncus lymphaticus dexter, ductus thoracicus v. jugularis ext. is - v. retromandibularis , v. occipitalis and v. auricularis post. vv. thyroideae inf. from the lower part of plexus thyroideus impar that receives also - vv. laryngeae inf. - vv. tracheales (sometimes v. thyroidea ima instead – v. brachiocephalica sin.) vv. thymicae, tracheales, mediastinales, bronchiales, pericardiacae v. vertebralis - plexus venosus suboccipitalis v. thoracica int. v. intercostalis suprema anastomoses with v.azygos(right) and v. hemiazygos accessoria (left) V. JUGULARIS INT. sinus sigmoideus - bulbus superior Intracranial tributaries: sinus durae matris Extracranial tributaries: vv. pharyngeae - plexus pharyngeus v. facialis – v. angularis - v. prof. faciei –plexus pterygoideus - v. palatina ext. v. lingualis v. thyroidea sup. – plexus thyroideus impar (v. laryngea sup.) (tr. thyrolingualis, thyrolinguofacialis) v. thyroidea media v. retromandibularis (35%) v. temporalis media v. transversa faciei Plexus pterygoideus: v. alveolaris inf. et sup. v. sphenopalatina vv. palatinae Blood from the plexus flows: through vv. ophthalmicae > sinus cavernosus through v. maxillaris > v. retromandibularis through v. prof. faciei > v. facialis v. jugularis ext.: v. retromandibularis . – v. temporalis spf. - v. maxillaris v. auricularis post. v. occipitalis v. jugularis ant. (v. mediana colli) – arcus venosus juguli 1 v. transversa colli v. suprascapularis V. SUBCLAVIA v. transversa colli v. suprascapularis V. AXILLARIS vv. thoracoepigastricae – vv. subcutaneae abdominis v. thoracica lat. vv. costoaxillares v. cephalica VEINS OF THE UPPER EXTREMITY Deep: vv. digitales, radiales, ulnares, interosseae antebrachii, brachiales, paired, accompany arteries Subcutaneous: rete digitale dorsale > vv. metacarpeae dorsales – rete venosum dorsale manus (vv. intercapitulares) > v. basilica and v. cephalica pollicis V. basilica – hiatus basilicus – vv. brachiales V. cephalica pollicis > v. cephalica > v. axillaris V. mediana cubiti V. mediana antebrachii - v. mediana cephalica + v. mediana basilica. V. CAVA INF. Parietal tributaries: v. iliaca com. dx. et sin. vv. lumbales – 4 pairs, v. lumbalis ascendens vv. phrenicae inf. v. sacralis mediana Visceral tributaries v. testicularis dx. - plexus pampiniformis v. ovarica dx. - plexus venosus ovaricus vv. renales. The left vein – v. suprarenalis sin., testicularis sin. or v. ovarica sin. v. suprarenalis dx. 2-3 vv. hepaticae V. ILIACA COMMUNIS - v. iliaca int. et ext. V. ILIACA INT. Parietal tributaries accompany arteries. Visceral tributaries arise from plexuses: 1. Plexus venosus vesicalis 2.a) Plexus venosus prostaticus – v. dorsalis penis prof. 2.b) Plexus venosus vaginalis – v. dorsalis clitoridis prof. >vv. vesicales >v. iliaca. int 3. Plexus venosus uterinus anastomoses with plexus ovaricus and vaginalis > vv. uterinae, vaginales 4. Plexus venosus rectalis - submucosal plexus - v. rectalis sup.> v. portae (hemorrhoids). 2 The perirectal (outer) plexus - v. rectalis media et inf., - v. pudenda int. > v. iliaca int. > v. cava inf. 5. Plexus venosus sacralis > v. sacralis mediana et lat. V. ILIACA EXT. v. epigastrica inf. v. circumflexa ilium prof. VEINS OF THE LOWER EXTREMITY Deep: vv. digitales plantares, metatarseae plantares, tibiales post. et ant., peroneae, poplitea, femoralis, profunda femoris, paired. Subcutaneous: vv. digitales dors. > vv. metatarseae dors. – rete venosum dorsale pedis, rete venosum plantare pedis –connected by vv. intercapitales, v. marginalis med. et lat. V. SAPHENA PARVA v. marginalis lat. v. femoropoplitea > v. poplitea V. SAPHENA MAGNA v. marginalis med. v. saphena accessoria v. epigastrica spf. v. circumflexa ilium spf. vv. pudendae ext. > v. femoralis V. PORTAE vv. cysticae - gall bladder v. gastrica sin. v. gastrica dx. v. mesenterica sup. – vv. pancreaticoduodenales - vv. pancreaticae - v. gastroepiploica dx. - vv. jejunales et ileales - v. ileocolica - v. colica dx. et media v. lienalis - vv. gastricae breves - v. gastroepiploica sin. - vv. pancreaticae v. mesenterica inf. – v. colica sin. - vv. sigmoideae - v. rectalis inf. PORTO-CAVAL/PORTO-SYSTEMIC ANASTOMOSES 1. Vv. gastricae – vv. oesophageae – esophageal varices 2. Connections around the umbilicus – vv. paraumbilicales (lig. teres hepatis) - subcutaneous veins of the anterior abdominal wall (caput Medusae). 3. Burrow’s veins - plexus venosus vesicalis - paraumbilical veins. 4. Plexus rectalis – hemorrhoids. 3 5. Retzius‘ veins: v. lienalis, vv. mesentericae – vv. renales, lumbales. 6. Connections between hepatic veins and the phrenic veins – bare area of the liver. CAVO-CAVAL ANASTOMOSES V. azygos v. lumbalis ascendens dx. and v. subcostalis dx. vv. intercostales post. dx. (8-10) v. intercostalis suprema dx. – vv. intercostales post. dx. (2-3) v. hemiazygos – v. lumbalis asc. sin. – vv. lumbales sin. - vv. intercostales post. sin. (3-5) - v. hemiazygos accessoria - vv. intercostales post. sin.(5) - v. intercostalis suprema sin. - vv. oesophageae, bronchiales, mediastinales - v. phrenica sup. sin. vv. oesophageae, bronchiales, mediastinales v. phrenica sup. dx. 4