Document Detail

Cervical venous anastomoses of pulmonary lymphatic vessels.
MedLine Citation:
PMID:  9060119     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to describe in detail the anastomoses between the pulmonary lymphatic vessels and the veins of the neck so as to better understand their role in certain aspects of thoracic surgery. The lymphatic vessels of 687 pulmonary segments in 360 cadavers were injected. A detailed study of the proximal end of the right paratracheal, right tracheo-esophageal, left preaortocarotid and left recurrent lymph node chains was undertaken. The results showed the absence of any major right lymphatic "vein". There were, however, many lymphatic arches draining into the jugulo-subclavian confluence ipsilaterally, and, in 10 to 15% of cases, contralaterally as well. The intertracheobronchial lymph nodes also drained into the venous confluence of the neck via direct lymphatic vessels, without lymph node relays. Finally, the left mediastinal lymph node chains were frequently found to drain into the arch of the thoracic duct (40% of cases), and reflux due to valvular incompetence at this level may account for chylous pericarditis and some cases of chylothorax after surgery.
F Le Pimpec Barthes; M Riquet; D Hartl; J P Hubsch; G Hidden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical and radiologic anatomy : SRA     Volume:  19     ISSN:  0930-1038     ISO Abbreviation:  Surg Radiol Anat     Publication Date:  1997  
Date Detail:
Created Date:  1997-05-23     Completed Date:  1997-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8608029     Medline TA:  Surg Radiol Anat     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  53-5     Citation Subset:  IM    
Service de Chirurgle Thoracique, Hôpital Laënnec, Paris, France.
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MeSH Terms
Lung / anatomy & histology
Lymph Nodes / anatomy & histology
Lymphatic System / anatomy & histology*
Neck / blood supply*
Veins / anatomy & histology

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