Difference between azygos vein and hemiazygos vein
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Topics
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Azygos vein
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Hemiazygos vein
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Location
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It
is present only on the right side in the upper abdominal wall
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It
is also known as inferior hemiazygos vein . it lies on the left side only and
corresconds to the lower part of the azygos vein
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Tributaries
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1. Right
ascending lumbar vein
2. Right
subcostal vein
3. Right
superior intercostals vein (created by 2-4th right posterior
intercostals veins
4. Hemiazygos
vein
5. Accessory
hemiazygos vein
6. Right
brochial veins
7. Esophageal
veins
8. Mediastinal
veins
9. Pericardial
veins
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1. Lower
3 (9-11th ) left posterior intercostals veins
2. Left
subcostal vein
3. Left
ascending lumbar vein
4. Small
esophageal and mediastinal veins
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Formation
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Its formation is variable:
1.
It is
formed by the union of the ascending
lumbar veins with the right subcostal
veins at the level of the 12th thoracic
vertebra,
2.
Arises
from the posterior aspect of the inferior vena cava near the renal veins
3.
As a
continuation of right subcostal vein
4.
Occationally
it may arise from the right renal or right first lumbar vein
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It
is formed on the left side similar to the azygos vein by the union of left
ascending lumbar vein and left subcostal vein
It
may arise from the posterior surface of the left renal vein
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Course
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It enters the thorax via the aortic
hiatus in the diaphragm and ascends posteriorly alongside the vertebral
bodies, arching over the right main bronchus at T5-T6 and enters the superior
vena cava (SVC) at T4
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The hemiazygos vein enters the thorax either
through the aortic hiatus or directly through the diaphragmatic crura. It
then courses superiorly to the left of the midline in the posterior
mediastinum, adjacent to the thoracic vertebrae
until the level of T8 or T9 vertebral bodies, where it crosses the midline
anteriorly to the vertebral column to
drain into the azygos vein.
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Variant anatomy
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The azygos vein may rarely drain into the
right brachiocephalic vein, right subclavian vein, intrapericardial SVC or directly into the right
atrium
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·
hemiazygos continuation
of the IVC: often occurs with duplicated IVCs
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interazygos vein: occurs
when forming a common trunk with the accessory hemiazygos
vein anterior to the aorta
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Drainage area
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Thoracic wall and upper lumbar region
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·
It
drains the left inferior hemithorax
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