2. TO Prof. Igor V. Zadnipryany
Aim
To learn thedevelopment and
Anomalies of vein system system
3. DEVELOPMENT OF VEINS
Heart-First organ to start functioning & the 1st organ to
fully develop in the fetus.
A- 21 days -heart tube forms
B- 23 days-heart beats
C- 4Week cardiac loop forms
D- 7 Week heart fully developed
Bulbus cordis
Ventricle
Atrium
Sinus venosus
4. Truncus arteriosus
Consus
Ventricle
Atrio Ventricular
canal
Atrium
Sinus Venosus
Right common
Cardinal vein
forms superior
vena cava
Umblical Vein
(disappears)
Right viteline vein forms
part of inferior vena cava
Left horn of sinus
venosus retrogresses
to form part of
coronary sinus
AtriumBody of Sinus
Venosus
Right horn
Right horn
Common
cardinal vein
Umblical Vein
Vitelline Vein
5. 1.The vitel line veins (omphalomesenteric veins)
2.The umbilical veins
3.The cardinal veins
In The Fifth Week, Three Pairs Of Major
Veins Can Be Distinguished
6.
7. DEVELOPMENT OF INFERIOR VENACAVA
B. Vitel line and umblical
vein broken in to numerous
channel
C. Formation of Hepato
cardiac channel
D. Formation of Common
hepatic vein & Ductus
venosus
8. ANOMALIES OF THE VENOUS SYSTEM
• Anomalies of the Superior Vena Cava
• Anomalies of the Coronary Sinus
• Anomalies of the Inferior Vena Cava
• Anomalies of the Ductus Venosus
Click the arrow to continue
9. ANOMALIES OF THE SUPERIOR VENA
BILATERAL SUPERIOR VENAE CAVA WITH
NORMAL DRAINAGE TO THE RIGHT
ATRIUM
• The size of the Left Superior
Vena Cava varies
10. LEFT ATRIAL OR BI ATRIAL DRAINAGE OF
RIGHT SVC
• It results from the deficiency of the
common wall between the Superior Vena
Cava & Right Upper Pulmonary Vein
11. CORONARY SINUS DEFECT &
UNROOFED CS
• Unroofed coronary sinus almost always is associated with a persistent LSVC
• A Cronary sinus defect without an associated LSVC, and the physiology is the
same as in ASD
ANOMALIES OF THE CORONARY SINUS
12. CORONARY SINUS ORIFICE ATRESIA
• The Cronary Sinus is usually well formed, the orifice is covered by a
thin membrane like tissue
13. CORONARY SINUS ANEURYSM OR
DIVERTICULUM
• It is a pouch with its neck originating in the CronarySinus proximal
to the entrance of the middle cardiac vein. The pouch, 2 to 5 cm in
diameter, extends into the LV wall.
14. INTERRUPTED INFERIOR VENA CAVA
• Absence of the hepatic segment of the IVC with azygos
continuation into the right or left
• Rarely the infra hepatic segment of the IVC may continue to
both right and left SVC via bilateral azygos veins
ANOMALIES OF THE INFERIOR VENA CAVA
15. BILATERAL INFERIOR VENAE CAVAE
• Bilateral supra hepatic a frequent finding in
cases of visceral heterotaxy with asplenia
• Bilateral supra hepatic IVCs also can occur
rarely in patients with normal visceral situs
16. ANOMALOUS TERMINATION OF THE UMBILICAL
VEINS AND ABSENT DUCTUS VENOSUS
•Persisted left umbulical
vein terminates directly
into the CS , to the CS by
way of the left portal
vein or into the iliac vein
ANOMALIES OF THE DUCTUS VENOSUS