The primary function of the hemiazygos vein is to transport deoxygenated blood from the left side of the torso to the heart. It collects blood from various sources, including the lower ribs, muscles, and skin on the left side. This vein connects with the azygos vein, forming a crucial pathway for venous return, particularly in circumstances where the superior vena cava is obstructed. The hemiazygos vein plays an essential role in maintaining proper blood circulation within the thoracic cavity, ensuring that blood flow remains adequate even when other vessels are compromised. Its ability to act as a collateral pathway during such instances highlights its importance in the venous system.
The hemiazygos vein is located on the left side of the vertebral column, positioned posterior to the aorta and the thoracic organs. It typically begins in the lumbar region, ascending along the left side of the thoracic vertebrae. The vein passes through the diaphragm at the T9 vertebral level and ultimately drains into the azygos vein, which sits on the right side of the spine. This arrangement allows the hemiazygos vein to bridge the venous flow from the body's left side to the right side before returning to the heart. The hemiazygos vein runs adjacent to the thoracic duct, the major lymphatic vessel in the body, emphasizing the close anatomical and functional relationship between the venous and lymphatic systems.