Bonnette P, Hannoun L, Menegaux F, Calmat A, Cabrol C
Bull Assoc Anat (Nancy). 1983 Mar;67(196):69-77.
The anatomy of the left inferior phrenic vein is poorly understood. It can be exposed by transecting the left triangular ligament and clearing the hepatic veins. We inspected twenty embalmed specimens that were injected with Rhodorsil. Generally, the vein has its origin above the diaphragm near the apex of the heart. After traversing the diaphragm, the vein receives two collateral veins, in front of the left triangular ligament. One is located anteriorly and to the right of the vein, the other one is situated behind and to the left. The phrenic vein continues laterally, passing posteriorly to the triangular ligament, or rarely, when the coronary ligamentum is wider than usual, the vein will pass through it as well. In 74% of the case, the vein terminates into the left side of the left hepatic vein. Three dissections appeared to be very interesting: --in one, the vein followed the free margin, then the hepatic margin of the triangular ligament, receiving accessory hepatic veins, --in another, the vein joined the right inferior phrenic vein in front of the inferior vena cava, --in the third one, the vein followed the left inferior phrenic artery, to join the left suprarenal vein, then terminating in the left renal vein.
左膈下静脉的解剖结构尚未得到充分了解。可通过横断左三角韧带并清理肝静脉来暴露该静脉。我们检查了20个用罗丹明硅橡胶注射的防腐标本。一般来说，该静脉起自膈肌上方靠近心脏的心尖处。穿过膈肌后，该静脉在左三角韧带前方接收两条侧支静脉。一条位于静脉前方右侧，另一条位于后方左侧。膈下静脉继续向外侧走行，在三角韧带后方通过，或者在冠状韧带比平常宽时，该静脉也会穿过冠状韧带。在74%的病例中，该静脉汇入左肝静脉左侧。有三个解剖标本显得非常有趣：——在一个标本中，该静脉沿着三角韧带的游离缘，然后是肝缘走行，接收副肝静脉；——在另一个标本中，该静脉在下腔静脉前方与右膈下静脉汇合；——在第三个标本中，该静脉沿着左膈下动脉走行，汇入左肾上腺静脉，然后终止于左肾静脉。
