A renal portal system is a portal venous system [1] found in most vertebrates excluding hagfish and lampreys. Its function is to supply blood to renal tubules when glomerular filtration is absent or downregulated. [2]
The main channel is the renal portal vein, developed from the posterior cardinal vein, which brings venous blood circulation from the tail and groin to the kidney, where it is shunted into a capillary network around the convoluted tubules. The blood then enters the renal vein, passing either through the subcardinal veins and into the posterior cardinal veins or through the posterior vena cava. [3] There is no renal portal vein in mammals.
In lungfish and tetrapods, the renal portal vein is joined by a vein traveling upwards from the abdominal vein, [4] which can bring venous blood from the hind limbs and ventral body wall into the renal portal system, or alternatively, enable blood from the tail and groin to pass into the hepatic portal system, already served by blood from the gut, via the hepatic portal vein, and from the hind legs and ventral body wall, via the abdominal vein. In fishes and salamanders, the renal portal vein branches and enters a capillary network very similar to the ones in the nephric portal system. In frogs and amniotes, metarterioles appear, with capillary networks connected to them, and sphincter muscles around the entrances to the capillaries. In birds, the system is very complex, with sphincters around the metarterioles themselves. In fishes and salamanders, due to the lack of metarterioles, all the blood passes through the capillaries. However, in frogs and amniotes, most of the blood usually passes through the metarterioles instead, although it can still be diverted through the capillary networks if need be. The system is completely abandoned in mammals, with the result that all the blood from the tail (if present), groin, pelvic area, and hind legs is forced to pass directly into the posterior vena cava, and the only blood passing out of the kidney through the renal vein is that that entered it through the renal artery. The subcardinals become the part of the posterior vena cava between the hepatic vein and the renal veins, and other portions become the internal gonadal (spermatic or ovarian) veins, and the suprarenal veins. The posterior cardinal veins become the veins of the pelvis, tail, and hind legs, and the part of the azygos vein that is closest to the heart. [5]
Veins are blood vessels in the circulatory system of humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and fetal circulations which carry oxygenated blood to the heart. In the systemic circulation, arteries carry oxygenated blood away from the heart, and veins return deoxygenated blood to the heart, in the deep veins.
The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, that consists of the heart and blood vessels. The circulatory system has two divisions, a systemic circulation or circuit, and a pulmonary circulation or circuit. Some sources use the terms cardiovascular system and vascular system interchangeably with the circulatory system.
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The portal vein or hepatic portal vein (HPV) is a blood vessel that carries blood from the gastrointestinal tract, gallbladder, pancreas and spleen to the liver. This blood contains nutrients and toxins extracted from digested contents. Approximately 75% of total liver blood flow is through the portal vein, with the remainder coming from the hepatic artery proper. The blood leaves the liver to the heart in the hepatic veins.
The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.
The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood to the right atrium when either of the venae cavae is blocked.
Portal hypertension is defined as increased portal venous pressure, with a hepatic venous pressure gradient greater than 5 mmHg. Normal portal pressure is 1-4mmHg; clinically insignificant portal hypertension is present at portal pressures 5-9mmHg; clinically significant portal hypertension is present at portal pressures greater than 10mmHg. The portal vein and its branches supply most of the blood and nutrients from the intestine to the liver.
In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.
The renal veins in the renal circulation, are large-calibre veins that drain blood filtered by the kidneys into the inferior vena cava. There is one renal vein draining each kidney. Each renal vein is formed by the convergence of the interlobar veins of one kidney.
In human anatomy, the hepatic veins are the veins that drain venous blood from the liver into the inferior vena cava. There are usually three large upper hepatic veins draining from the left, middle, and right parts of the liver, as well as a number (6-20) of lower hepatic veins. All hepatic veins are valveless.
In human anatomy, the hepatic portal system or portal venous system is the system of veins comprising the portal vein and its tributaries. The other portal venous systems in the body are the renal portal system, and the hypophyseal portal system.
The rectal venous plexus is the venous plexus surrounding the rectum. It consists of an internal and an external rectal plexus. It is drained by the superior, middle, and inferior rectal veins. It forms a portosystemic (portocaval) anastomosis. This allows rectally administered medications to bypassing first pass metabolism.
The ovarian vein, the female gonadal vein, carries deoxygenated blood from its corresponding ovary to inferior vena cava or one of its tributaries. It is the female equivalent of the testicular vein, and is the venous counterpart of the ovarian artery. It can be found in the suspensory ligament of the ovary.
The testicular vein, the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.
The lumbar veins are four pairs of veins running along the inside of the posterior abdominal wall, and drain venous blood from parts of the abdominal wall. Each lumbar vein accompanies a single lumbar artery. The lower two pairs of lumbar veins all drain directly into the inferior vena cava, whereas the fate of the upper two pairs is more variable.
In the course of the round ligament of the liver, small paraumbilical veins are found which establish an anastomosis between the veins of the anterior abdominal wall and the portal vein, hypogastric, and iliac veins. These veins include Burrow's veins, and the veins of Sappey – superior veins of Sappey and the inferior veins of Sappey.
A portacaval anastomosis or portocaval anastomosis is a specific type of circulatory anastomosis that occurs between the veins of the portal circulation and the vena cava, thus forming one of the principal types of portasystemic anastomosis or portosystemic anastomosis, as it connects the portal circulation to the systemic circulation, providing an alternative pathway for the blood. When there is a blockage of the portal system, portocaval anastomosis enables the blood to still reach the systemic venous circulation. The inferior end of the esophagus and the superior part of the rectum are potential sites of a harmful portocaval anastomosis.
In the circulatory system of vertebrates, a portal venous system occurs when a capillary bed pools into another capillary bed through veins, without first going through the heart. Both capillary beds and the blood vessels that connect them are considered part of the portal venous system.
In human anatomy, the liver is divided grossly into four parts or lobes: the right lobe, the left lobe, the caudate lobe, and the quadrate lobe. Seen from the front – the diaphragmatic surface – the liver is divided into two lobes: the right lobe and the left lobe. Viewed from the underside – the visceral surface – the other two smaller lobes, the caudate lobe and the quadrate lobe, are also visible. The two smaller lobes, the caudate lobe and the quadrate lobe, are known as superficial or accessory lobes, and both are located on the underside of the right lobe.