Knowledge

Pulmonary vein

Source 📝

400: 29: 1644: 195: 415: 427: 439: 41: 468: 281:
Occasionally the three lobar veins on the right side remain separate, and not infrequently the two left lobar veins end by a common opening into the left atrium. Therefore, the number of pulmonary veins opening into the left atrium can vary between three and five in the healthy
1664: 256:
At the root of the lung, the right superior pulmonary vein lies in front of and a little below the pulmonary artery; the inferior is situated at the lowest part of the lung hilum. Behind the pulmonary artery is the
1292: 399: 377:
On chest X-ray, the diameters of pulmonary veins increases from upper to lower lobes, from 3 mm at the first intercoastal space, to 6 mm just above the diaphragm.
354:
becomes less of an initiator and the left atrium becomes an independent source of arrhythmias. Pulmonary vein isolation ablation technology has used thermal methods (
1285: 170: 1278: 374:, however, eliminates the risk of thermal damage. Atrial fibrillation most often recurs after ablation because of pulmonary vein reconnection. 884: 597: 146: 917: 253:. The peripheral feeding veins do not follow the bronchial tree. They run between the pulmonary segments from which they drain the blood. 553: 289:
The two left lobar veins may be united as a single pulmonary vein in about 25% of people; the two right veins may be united in about 3%.
426: 438: 342:
to the pulmonary veins. Pulmonary vein anatomy is highly variable among atrial fibrillation patients. Pulmonary vein isolation by
788:"Recurrent Atrial Fibrillation After Catheter Ablation: Considerations For Repeat Ablation And Strategies To Optimize Success" 507: 385: 593:"The anatomical basis of pulmonary vein reconnection after ablation for atrial fibrillation: wounds that never felt a scar?" 551:
Bradley CJ, Haines DE (2020). "Pulsed field ablation for pulmonary vein isolation in the treatment of atrial fibrillation".
384:
of the pulmonary veins can cause them to drain into the pulmonary circulation in whole or in part, this is known as a total
1353: 835:
Porres, Diego Varona; Morenza, Óscar Persiva; Pallisa, Esther; Roque, Alberto; Andreu, Jorge; Martínez, Manel (July 2013).
1669: 1592: 1587: 644:"2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation" 699: 910: 319:
As part of the pulmonary circulation they carry oxygenated blood back to the heart, as opposed to the veins of the
1358: 890: 498:
Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005).
61: 535: 165: 1112: 695:"Mid term freedom from atrial fibrillation following hybrid ablation, a systematic review and meta analysis" 249:. The main pulmonary veins receive blood from three or four feeding veins in each lung, and drain into the 1679: 1542: 903: 477: 1634: 1445: 330:
A groundbreaking study published in 1998 identified the pulmonary vein as the predominant trigger for
1547: 1528: 1505: 1455: 497: 1462: 1450: 350:. As atrial fibrillation becomes more persistent, the junction between the pulmonary veins and the 304: 129: 1674: 1259: 1222: 1013: 1001: 355: 1604: 1488: 1440: 1386: 1362: 1008: 526:
Skandalakis, John E. (2004). "Chapter 7. Pericardium, Heart, and Great Vessels in the Thorax".
455: 177: 153: 141: 414: 1609: 1556: 1510: 1498: 1483: 1159: 298: 230: 1621: 1493: 1432: 1326: 1270: 751: 749:
Ramirez FD, Reddy VY, Jaïs P (2020). "Emerging Technologies for Pulmonary Vein Isolation".
351: 320: 8: 1616: 1390: 1368: 528:
Skandalakis' surgical anatomy : the embryologic and anatomic basis of modern surgery
405: 331: 1643: 723: 694: 327:
is a blood vessel that carries blood to the heart, whether oxygenated or deoxygenated.
1421: 1378: 1347: 1343: 1103: 812: 787: 670: 643: 619: 592: 308: 266: 73: 28: 1538: 864: 856: 817: 768: 728: 675: 624: 570: 531: 503: 482: 343: 33:
Anterior (frontal) view of the opened heart. White arrows indicate normal blood flow.
1665:
Knowledge articles incorporating text from the 20th edition of Gray's Anatomy (1918)
1574: 1309: 1207: 1169: 1079: 1036: 848: 807: 799: 760: 718: 708: 665: 657: 614: 606: 562: 381: 105: 764: 1551: 1533: 1472: 1249: 1089: 1046: 953: 371: 134: 836: 245:, two from each lung – an inferior and a superior main vein, emerging from each 1648: 1467: 1335: 1234: 1051: 970: 713: 610: 339: 270: 661: 210: 194: 1658: 1477: 1254: 1244: 1212: 1056: 1031: 860: 473: 367: 261:. The right main pulmonary veins (contains oxygenated blood) pass behind the 158: 1599: 1239: 1229: 996: 991: 963: 868: 821: 772: 732: 679: 628: 574: 359: 347: 262: 68: 1520: 1217: 1202: 1165: 1150: 1146: 852: 648: 335: 250: 226: 93: 1181: 1118: 388:(or drainage), or partial anomalous pulmonary connection, respectively. 803: 283: 246: 56: 566: 183: 1194: 1134: 1130: 1041: 980: 958: 895: 363: 432:
Transverse section of thorax, showing relations of pulmonary artery.
258: 530:. Athens, Greece: PMP. pp. section titled 'Pulmonary veins'. 40: 45:
Diagram of the alveoli with both cross-section and external view.
444:
Pulmonary vessels, seen in a dorsal view of the heart and lungs.
16:
Veins that transfer oxygenated blood from the lungs to the heart
1317: 1305: 1138: 1126: 1061: 945: 926: 502:(Pbk. ed.). Philadelphia: Elsevier/Churchill Livingstone. 100: 1122: 1084: 1071: 218: 117: 83: 1300: 1301: 1173: 1142: 1023: 930: 408:
of a normal lung, with different levels of pulmonary veins.
324: 214: 206: 692: 834: 334:. Atrial fibrillation frequently results from bursts of 887:
at Human Anatomy Online, SUNY Downstate Medical Center
641: 1632: 307:, by receiving blood that has been oxygenated in the 338:
that originate in muscle bundles extending from the
229:of the heart. The pulmonary veins are part of the 362:), which can damage adjacent tissues, notably the 521: 519: 323:which carry deoxygenated blood. By definition, a 1656: 748: 744: 742: 590: 586: 584: 516: 303:The pulmonary veins play an essential role in 1286: 911: 693:Eranki A, Wilson-Smith A, Manganas C (2023). 598:Journal of the American College of Cardiology 550: 779: 739: 686: 635: 581: 554:Journal of Cardiovascular Electrophysiology 544: 525: 221:. The largest pulmonary veins are the four 1293: 1279: 918: 904: 225:, two from each lung that drain into the 39: 27: 811: 722: 712: 669: 642:Calkins H, Hindricks G, Yamane T (2018). 618: 785: 491: 314: 193: 1657: 925: 472:This article incorporates text in the 269:; the left in front of the descending 1274: 899: 386:anomalous pulmonary venous connection 311:and returning it to the left atrium. 391: 837:"Learning from the Pulmonary Veins" 13: 14: 1691: 878: 700:Journal of Cardiothoracic Surgery 1642: 466: 437: 425: 413: 398: 1354:Posterior of the left ventricle 591:McGarry TJ, Narayan SM (2012). 1363:Ligament of the left vena cava 828: 792:Journal of Atrial Fibrillation 1: 765:10.1161/CIRCRESAHA.120.316402 461: 276: 236: 7: 891:Illustration at infomat.net 500:Gray's anatomy for students 480:of the 20th edition of 449: 292: 10: 1696: 1670:Respiratory system anatomy 1543:posterior intercostal 5-11 1529:right superior intercostal 1359:Oblique of the left atrium 714:10.1186/s13019-023-02189-2 611:10.1016/j.jacc.2011.11.032 453: 296: 1583:vertebral venous plexuses 1573: 1519: 1456:left superior intercostal 1431: 1420: 1404: 1377: 1334: 1325: 1316: 1193: 1158: 1111: 1102: 1070: 1022: 979: 944: 937: 176: 164: 152: 140: 128: 116: 111: 99: 89: 79: 67: 55: 50: 38: 26: 21: 885:Anatomy figure: 19:05-08 1260:Circulatory anastomosis 1223:Internal elastic lamina 1014:Precapillary resistance 662:10.1093/europace/eux274 356:radiofrequency ablation 1009:Precapillary sphincter 456:anatomical terminology 344:transcatheter ablation 198: 178:Anatomical terminology 315:Clinical significance 299:Pulmonary circulation 297:Further information: 231:pulmonary circulation 197: 1548:accessory hemiazygos 1446:anterior intercostal 853:10.1148/rg.334125043 752:Circulation Research 321:systemic circulation 243:main pulmonary veins 223:main pulmonary veins 1506:pericardiacophrenic 1451:superior epigastric 406:Computed tomography 332:atrial fibrillation 1680:Veins of the torso 1379:Small cardiac vein 1170:Pulmonary arteries 1104:Circulatory system 804:10.4022/jafib.1427 454:This article uses 267:superior vena cava 199: 74:Circulatory system 62:Truncus arteriosus 1630: 1629: 1569: 1568: 1565: 1564: 1489:thoracoepigastric 1441:internal thoracic 1400: 1399: 1268: 1267: 1189: 1188: 1098: 1097: 786:Darby AE (2016). 567:10.1111/jce.14414 509:978-0-443-06612-2 420:Bronchial anatomy 392:Additional images 192: 191: 187: 1687: 1647: 1646: 1638: 1575:Vertebral column 1557:superior phrenic 1511:internal jugular 1499:external jugular 1484:lateral thoracic 1429: 1428: 1387:Anterior cardiac 1332: 1331: 1323: 1322: 1310:vertebral column 1295: 1288: 1281: 1272: 1271: 1208:Microcirculation 1109: 1108: 1080:Lymphatic vessel 1037:Superficial vein 942: 941: 920: 913: 906: 897: 896: 873: 872: 832: 826: 825: 815: 783: 777: 776: 746: 737: 736: 726: 716: 690: 684: 683: 673: 639: 633: 632: 622: 588: 579: 578: 561:(8): 2136–2147. 548: 542: 541: 523: 514: 513: 495: 470: 469: 441: 429: 417: 402: 211:oxygenated blood 184:edit on Wikidata 181: 123:venae pulmonales 106:Pulmonary artery 43: 31: 19: 18: 1695: 1694: 1690: 1689: 1688: 1686: 1685: 1684: 1655: 1654: 1653: 1641: 1633: 1631: 1626: 1561: 1515: 1494:dorsal scapular 1433:Brachiocephalic 1423: 1416: 1412:Pulmonary veins 1396: 1373: 1312: 1299: 1269: 1264: 1250:Vascular nerves 1185: 1154: 1094: 1090:Lymph capillary 1066: 1047:Perforator vein 1018: 975: 954:Nutrient artery 933: 924: 881: 876: 847:(4): 999–1022. 833: 829: 784: 780: 747: 740: 691: 687: 640: 636: 605:(10): 939–941. 589: 582: 549: 545: 538: 524: 517: 510: 496: 492: 467: 464: 459: 452: 445: 442: 433: 430: 421: 418: 409: 403: 394: 372:Electroporation 317: 301: 295: 279: 241:There are four 239: 203:pulmonary veins 188: 46: 34: 17: 12: 11: 5: 1693: 1683: 1682: 1677: 1675:Thoracic veins 1672: 1667: 1652: 1651: 1628: 1627: 1625: 1624: 1622:intervertebral 1619: 1614: 1613: 1612: 1607: 1597: 1596: 1595: 1590: 1579: 1577: 1571: 1570: 1567: 1566: 1563: 1562: 1560: 1559: 1554: 1545: 1536: 1531: 1525: 1523: 1517: 1516: 1514: 1513: 1508: 1503: 1502: 1501: 1496: 1491: 1486: 1481: 1470: 1465: 1460: 1459: 1458: 1453: 1448: 1437: 1435: 1426: 1418: 1417: 1415: 1414: 1408: 1406: 1402: 1401: 1398: 1397: 1395: 1394: 1391:Right marginal 1383: 1381: 1375: 1374: 1372: 1371: 1369:Middle cardiac 1366: 1356: 1351: 1340: 1338: 1336:Coronary sinus 1329: 1320: 1314: 1313: 1298: 1297: 1290: 1283: 1275: 1266: 1265: 1263: 1262: 1257: 1252: 1247: 1242: 1237: 1235:Tunica externa 1232: 1227: 1226: 1225: 1220: 1210: 1205: 1199: 1197: 1191: 1190: 1187: 1186: 1178:Pulmonary vein 1164: 1162: 1156: 1155: 1117: 1115: 1106: 1100: 1099: 1096: 1095: 1093: 1092: 1087: 1082: 1076: 1074: 1068: 1067: 1065: 1064: 1059: 1054: 1052:Emissary veins 1049: 1044: 1039: 1034: 1028: 1026: 1020: 1019: 1017: 1016: 1011: 1006: 1005: 1004: 999: 994: 985: 983: 977: 976: 974: 973: 971:Elastic artery 968: 967: 966: 956: 950: 948: 939: 935: 934: 923: 922: 915: 908: 900: 894: 893: 888: 880: 879:External links 877: 875: 874: 827: 778: 759:(1): 170–183. 738: 685: 656:(1): e1–e160. 634: 580: 543: 536: 515: 508: 489: 483:Gray's Anatomy 463: 460: 451: 448: 447: 446: 443: 436: 434: 431: 424: 422: 419: 412: 410: 404: 397: 393: 390: 382:genetic defect 316: 313: 294: 291: 278: 275: 271:thoracic aorta 238: 235: 209:that transfer 190: 189: 180: 174: 173: 168: 162: 161: 156: 150: 149: 144: 138: 137: 132: 126: 125: 120: 114: 113: 109: 108: 103: 97: 96: 91: 87: 86: 81: 77: 76: 71: 65: 64: 59: 53: 52: 48: 47: 44: 36: 35: 32: 24: 23: 22:Pulmonary vein 15: 9: 6: 4: 3: 2: 1692: 1681: 1678: 1676: 1673: 1671: 1668: 1666: 1663: 1662: 1660: 1650: 1645: 1640: 1639: 1636: 1623: 1620: 1618: 1617:basivertebral 1615: 1611: 1608: 1606: 1603: 1602: 1601: 1598: 1594: 1591: 1589: 1586: 1585: 1584: 1581: 1580: 1578: 1576: 1572: 1558: 1555: 1553: 1549: 1546: 1544: 1540: 1537: 1535: 1532: 1530: 1527: 1526: 1524: 1522: 1518: 1512: 1509: 1507: 1504: 1500: 1497: 1495: 1492: 1490: 1487: 1485: 1482: 1479: 1476: 1475: 1474: 1471: 1469: 1466: 1464: 1461: 1457: 1454: 1452: 1449: 1447: 1444: 1443: 1442: 1439: 1438: 1436: 1434: 1430: 1427: 1425: 1419: 1413: 1410: 1409: 1407: 1403: 1392: 1388: 1385: 1384: 1382: 1380: 1376: 1370: 1367: 1364: 1360: 1357: 1355: 1352: 1349: 1348:Left marginal 1345: 1344:Great cardiac 1342: 1341: 1339: 1337: 1333: 1330: 1328: 1324: 1321: 1319: 1315: 1311: 1307: 1303: 1296: 1291: 1289: 1284: 1282: 1277: 1276: 1273: 1261: 1258: 1256: 1255:Rete mirabile 1253: 1251: 1248: 1246: 1245:Vasa nervorum 1243: 1241: 1238: 1236: 1233: 1231: 1228: 1224: 1221: 1219: 1216: 1215: 1214: 1213:Tunica intima 1211: 1209: 1206: 1204: 1201: 1200: 1198: 1196: 1192: 1183: 1179: 1175: 1171: 1167: 1163: 1161: 1157: 1152: 1148: 1144: 1140: 1136: 1132: 1128: 1124: 1120: 1116: 1114: 1110: 1107: 1105: 1101: 1091: 1088: 1086: 1083: 1081: 1078: 1077: 1075: 1073: 1069: 1063: 1060: 1058: 1057:Venous plexus 1055: 1053: 1050: 1048: 1045: 1043: 1040: 1038: 1035: 1033: 1032:Vena comitans 1030: 1029: 1027: 1025: 1021: 1015: 1012: 1010: 1007: 1003: 1000: 998: 995: 993: 990: 989: 987: 986: 984: 982: 978: 972: 969: 965: 962: 961: 960: 957: 955: 952: 951: 949: 947: 943: 940: 936: 932: 928: 921: 916: 914: 909: 907: 902: 901: 898: 892: 889: 886: 883: 882: 870: 866: 862: 858: 854: 850: 846: 842: 841:RadioGraphics 838: 831: 823: 819: 814: 809: 805: 801: 797: 793: 789: 782: 774: 770: 766: 762: 758: 754: 753: 745: 743: 734: 730: 725: 720: 715: 710: 706: 702: 701: 696: 689: 681: 677: 672: 667: 663: 659: 655: 651: 650: 645: 638: 630: 626: 621: 616: 612: 608: 604: 600: 599: 594: 587: 585: 576: 572: 568: 564: 560: 556: 555: 547: 539: 533: 529: 522: 520: 511: 505: 501: 494: 490: 488: 487: 484: 481: 479: 475: 474:public domain 457: 440: 435: 428: 423: 416: 411: 407: 401: 396: 395: 389: 387: 383: 378: 375: 373: 369: 368:phrenic nerve 365: 361: 357: 353: 349: 345: 341: 337: 333: 328: 326: 322: 312: 310: 306: 300: 290: 287: 285: 274: 272: 268: 264: 260: 254: 252: 248: 244: 234: 232: 228: 224: 220: 216: 212: 208: 204: 196: 185: 179: 175: 172: 169: 167: 163: 160: 157: 155: 151: 148: 145: 143: 139: 136: 133: 131: 127: 124: 121: 119: 115: 110: 107: 104: 102: 98: 95: 92: 88: 85: 82: 78: 75: 72: 70: 66: 63: 60: 58: 54: 49: 42: 37: 30: 25: 20: 1582: 1411: 1240:Vasa vasorum 1230:Tunica media 1195:Microanatomy 1177: 964:Metarteriole 844: 840: 830: 795: 791: 781: 756: 750: 704: 698: 688: 653: 647: 637: 602: 596: 558: 552: 546: 527: 499: 493: 485: 471: 465: 379: 376: 360:cryoablation 348:sinus rhythm 346:can restore 329: 318: 302: 288: 280: 263:right atrium 255: 242: 240: 222: 202: 200: 147:A12.3.02.001 122: 1539:intercostal 1218:Endothelium 1203:Microvessel 1166:Right heart 1151:Right heart 1135:Capillaries 997:Fenestrated 981:Capillaries 798:(1): 1427. 352:left atrium 336:tachycardia 305:respiration 251:left atrium 227:left atrium 112:Identifiers 94:Left atrium 80:Drains from 1659:Categories 1552:hemiazygos 1473:subclavian 1182:Left heart 1131:Arterioles 1119:Left heart 1002:Sinusoidal 992:Continuous 707:(1): 155. 537:9603990744 462:References 366:, lung or 284:population 1605:posterior 1534:bronchial 1468:vertebral 1424:vena cava 1160:Pulmonary 1147:Vena cava 1042:Deep vein 959:Arteriole 861:0271-5333 364:esophagus 277:Variation 237:Structure 213:from the 90:Drains to 57:Precursor 1610:anterior 1593:internal 1588:external 1478:axillary 1422:superior 1127:Arteries 1113:Systemic 946:Arteries 927:Arteries 869:23842969 822:27909521 773:32716722 733:37076929 724:10114378 680:29016840 649:Europace 629:22381430 575:32107812 478:page 642 450:See also 293:Function 259:bronchus 205:are the 1649:Anatomy 1463:supreme 1304:of the 1139:Venules 938:Vessels 813:5089515 671:5834122 620:3393092 380:A rare 309:alveoli 217:to the 135:D011667 51:Details 1635:Portal 1600:spinal 1521:Azygos 1318:Thorax 1306:thorax 1062:Venule 988:Types 867:  859:  820:  810:  771:  731:  721:  678:  668:  627:  617:  573:  534:  506:  486:(1918) 340:atrium 101:Artery 69:System 1405:Lungs 1327:Heart 1302:Veins 1174:Lungs 1143:Veins 1123:Aorta 1085:Lymph 1072:Lymph 1024:Veins 931:veins 476:from 247:hilum 219:heart 215:lungs 207:veins 201:The 182:[ 171:66643 118:Latin 84:Lungs 1308:and 929:and 865:PMID 857:ISSN 818:PMID 769:PMID 729:PMID 676:PMID 625:PMID 571:PMID 532:ISBN 504:ISBN 325:vein 265:and 159:4107 142:TA98 130:MeSH 1180:→ ( 1149:→ ( 849:doi 808:PMC 800:doi 761:doi 757:127 719:PMC 709:doi 666:PMC 658:doi 615:PMC 607:doi 563:doi 370:. 358:or 166:FMA 154:TA2 1661:: 1176:→ 1172:→ 1168:→ 1145:→ 1141:→ 1137:→ 1133:→ 1129:→ 1125:→ 1121:→ 863:. 855:. 845:33 843:. 839:. 816:. 806:. 794:. 790:. 767:. 755:. 741:^ 727:. 717:. 705:18 703:. 697:. 674:. 664:. 654:20 652:. 646:. 623:. 613:. 603:50 601:. 595:. 583:^ 569:. 559:31 557:. 518:^ 286:. 273:. 233:. 1637:: 1550:/ 1541:/ 1480:: 1393:) 1389:( 1365:) 1361:( 1350:) 1346:( 1294:e 1287:t 1280:v 1184:) 1153:) 919:e 912:t 905:v 871:. 851:: 824:. 802:: 796:9 775:. 763:: 735:. 711:: 682:. 660:: 631:. 609:: 577:. 565:: 540:. 512:. 458:. 186:]

Index



Precursor
Truncus arteriosus
System
Circulatory system
Lungs
Left atrium
Artery
Pulmonary artery
Latin
MeSH
D011667
TA98
A12.3.02.001
TA2
4107
FMA
66643
Anatomical terminology
edit on Wikidata

veins
oxygenated blood
lungs
heart
left atrium
pulmonary circulation
hilum
left atrium

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.