The (also known as the superior hemiazygos vein ) is a major component of the Azygos venous system . Located in the upper left posterior mediastinum, it serves as the left-sided counterpart to the superior portion of the azygos vein, primarily draining the mid-to-upper thoracic wall. Anatomical Overview
The accessory hemiazygos vein is an unpaired vessel that typically resides on the left side of the vertebral column, parallel to the descending thoracic aorta. accessory hemiazygos vein
: It is formed by the confluence of the 4th through 8th left posterior intercostal veins . The (also known as the superior hemiazygos vein
: If the vein is underdeveloped or absent, the left superior intercostal vein may extend further down to drain those levels. Clinical Significance Accessory Hemiazygos Vein | Complete Anatomy - Elsevier : It is formed by the confluence of
The azygos system is notoriously highly variable . Common variants include: