Difference between hemiazygos and accessory hemiazygos vein
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Topics
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Hemiazygos vein
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Accessory hemiazygos vein
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Location
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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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It
is also known as superior hemiazygos vein . it lies on the left side only and
corresponds to the upper part of azygos vein
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Tributaries
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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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1. 5th
to 8th left posterior intercostals vein
2. Left
bronchial veins (occationally )
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Formation
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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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The accessory hemiazygos vein is formed by
the confluence of the middle left posterior intercostal veins.
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Course
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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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It descends to the left of midline, adjacent
to the thoracic vertebrae and crosses posteriorly to the aorta at the level
of T7-8 to drain into the azygos vein. It normally anastomoses with the left superior intercostal vein.
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Variant anatomy
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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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drains via a common trunk with the hemiazygos vein into the
azygos vein
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forms a common trunk with the hemiazygos vein that passes
anterior to the aorta called the interazygos vein 2
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drains directly into the left brachiocephalic vein
(rare)
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Drainage area
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It
drains the left inferior hemithorax
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It
drains the left superior hemithorax.
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