The left gastric vein (or coronary vein) is a vein that derives from tributaries draining the lesser curvature of the stomach.[1]

Left gastric vein
The portal vein and its tributaries, the left gastric vein is labelled as the coronary vein
Details
Drains fromLesser curvature of the stomach
Drains toPortal vein
Identifiers
Latinvena gastrica sinistra
TA98A12.3.12.015
TA25110
FMA15399
Anatomical terminology

Structure

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The left gastric vein runs from right to left along the lesser curvature of the stomach.[2] It passes to the esophageal opening of the stomach, where it receives some esophageal veins.[2] It then turns backward and passes from left to right behind the omental bursa. It drains into the portal vein near the superior border of the pancreas.[2]

Function

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The left gastric vein drains deoxygenated blood from the lesser curvature of the stomach.[2] It also acts as collaterals between the portal vein and the systemic venous system of the lower esophagus (azygos vein).[citation needed][3]

Clinical significance

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The esophageal branch of the left gastric vein drains into the azygos vein. In cases of portal hypertension, this communication allows for blood to bypass the portal vein and reach systemic circulation. As a result of this anastomosis, development of esophageal and paraesophageal varices is possible.[3]

See also

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References

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  This article incorporates text in the public domain from page 682 of the 20th edition of Gray's Anatomy (1918)

  1. ^ Hackert, T; Weitz, J; Büchler, MW (April 2015). "Reinsertion of the gastric coronary vein to avoid venous gastric congestion in pancreatic surgery". HPB. 17 (4): 368–70. doi:10.1111/hpb.12321. PMC 4368403. PMID 25059096.
  2. ^ a b c d Chiva, Luis M.; Magrina, Javier (2018-01-01), Ramirez, Pedro T.; Frumovitz, Michael; Abu-Rustum, Nadeem R. (eds.), "Chapter 2 - Abdominal and Pelvic Anatomy", Principles of Gynecologic Oncology Surgery, Elsevier, pp. 3–49, doi:10.1016/b978-0-323-42878-1.00002-x, ISBN 978-0-323-42878-1, retrieved 2021-01-24
  3. ^ a b Snell, Richard S. (2012). Clinical Anatomy By Regions (9th ed.). Wolters Kluwer. pp. 194–195. ISBN 978-1-60913-446-4.
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