Skip to main content
Log in

Persistent left hepatic venous connection with the right atrium and the ductus venosus

  • Original Article
  • Published:
Anatomical Science International Aims and scope Submit manuscript

Abstract

An anomalous left hepatic vein opening independently of the coronary sinus into the right atrium was found in the cadaver of an 88-year-old Japanese man. This vein originated from the left lobe of the liver, perforated the diaphragm at the left side of the vena caval foramen and opened into the right atrium. The left hepatic vein anastomosed mutually with the middle hepatic vein at the level of venule. The ligamentum venosum originated from the left branch of the portal vein and was connected directly to the left hepatic vein. The development of the central systemic venous system and a possible explanation for the morphogenesis of this anomaly were reviewed. As a result, the occurrence of this anomalous vein was explained as being due to the persistence of the left vitelline connection with the left sinus horn and the ductus venosus.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arey LB (1965) Developmental anatomy, 7th edn. Saunders, Philadelphia.

    Google Scholar 

  • Bunger PC, Neufeld DA, Moore JC, Carter GA (1981) Persistent left superior vena cava and associated structural and functional considerations. Angiology 32, 601–08.

    Article  PubMed  CAS  Google Scholar 

  • Bunger PC, Parke WW (1982) Persistent left hepatic venous connection with the coronary sinus. Anat Rec 203, 189–96.

    Article  PubMed  CAS  Google Scholar 

  • Chacko AW, Reynolds SRM (1953) Embryonic development in the human of the sphincter of the ductus venosus. Anat Rec 115, 151–73.

    Article  PubMed  CAS  Google Scholar 

  • Dickson AD (1956) The ductus venosus of the pig. J Anat 90, 143–52.

    PubMed  CAS  Google Scholar 

  • Dickson AD (1957) The development of the ductus venosus in man and the goat. J Anat 91, 358–68.

    PubMed  CAS  Google Scholar 

  • Evans HM (1909) On the development of the aortae, cardinal and umbilical veins, and the other blood vessels of vertebrate embryos from capillaries. Anat Rec 3, 498–518.

    Article  Google Scholar 

  • Goss CM (1948) Gray’s Anatomy, 25th edn. Lea and Febiger, Philadelphia.

    Google Scholar 

  • Hamilton WJ, Mossman HW (1972) Human embryology, 4th edn. Williams and Wilkins, Baltimore.

    Google Scholar 

  • Langman J (1969) Medical embryology, 2nd edn. Williams and Wilkins, Baltimore.

    Google Scholar 

  • MacMahon HE, Morrison A (1969) Persistent left vitelline vein entering right atrium. Arch Pathol 88, 553–54.

    PubMed  CAS  Google Scholar 

  • Masuko S, Inoue K (1982) A case of the double superior venae cavae and an anomalous left hepatic vein opening directly into the right atrium. Acta Anat Nippon 57, 169–74.

    PubMed  CAS  Google Scholar 

  • McClure CFW, Butler EG (1925) The development of the inferior vena cava in man. Am J Anat 35, 331–83.

    Article  Google Scholar 

  • Mori M (1955) A morphological study on the veins of human heart. Igaku Kenkyu 25, 1027–35.

    Google Scholar 

  • Nakamura S (1982) Hepatic resection based on the surgical anatomy of the hepatic veins and inferior vena cava. J Surg Nippon 83, 384–95.

    Google Scholar 

  • Outi H, Unehira M (1964) A case of anomalous left hepatic vein directly opening to the right atrium, combined with left superior vena cava. Acta Anat Nippon 39, 55–6.

    Google Scholar 

  • Patten BM (1953) Human embryology, 2nd edn. McGraw-Hill, New York.

    Google Scholar 

  • Sato T, Akita K (2000) Anatomic variations in Japanese. University of Tokyo Press, Tokyo.

    Google Scholar 

  • Takahashi Y, Yoshida S, Yoshitomi T et al. (1982) Two rare cases of anomalous veins. Okajimas Folia Anat Jpn 58, 875–82.

    PubMed  CAS  Google Scholar 

  • Tohno Y, Tohno S, Matsumoto K, Naito K (1985) A trial of introducing soft X-ray apparatus into dissection practice for students. J Nara Med Assoc 36, 365–70.

    Google Scholar 

  • Winter FS (1954) Persistent left superior vena cava. Angiology 5, 90–132.

    Article  PubMed  CAS  Google Scholar 

  • Yoshinaga K, Kodama K (1997) Persistence of the hepatic segment of the left inferior vena cava in man and its relation to the ductus venosus development. Acta Anat 160, 132–38.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cho Azuma.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Azuma, C., Tohno, Y., Tohno, S. et al. Persistent left hepatic venous connection with the right atrium and the ductus venosus. Anato Sci Int 77, 124–127 (2002). https://doi.org/10.1046/j.0022-7722.2002.00001.x

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1046/j.0022-7722.2002.00001.x

Key words

Navigation