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Blood vesselVeinsThorax

Superior vena cava: anatomy, course and supply

Also called: SVC

Quick answer

The superior vena cava is the large vein that returns deoxygenated blood from the head, neck, upper limbs and chest wall to the right atrium. It is formed behind the first right costal cartilage by the union of the right and left brachiocephalic veins and is about seven centimetres long.

Key facts

LocationRight side of the superior mediastinum, from the first right costal cartilage to the right atrium.
StructureFormed by the brachiocephalic veins; receives the azygos vein before entering the heart.
FunctionDrains blood from the head, neck, upper limbs and thorax.
Blood supplyVasa vasorum.
InnervationSympathetic fibres from the cardiac plexus.
3D model of the superior vena cava shown with nearby bones

3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.

About the superior vena cava

The SVC has no valves. Its close relation to the trachea, right lung and lymph nodes explains why mediastinal masses can obstruct it.

Clinical relevance

Frequently asked questions

What forms the superior vena cava?

The union of the right and left brachiocephalic veins.

Where does it drain?

Into the right atrium of the heart.

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