The left and right brachiocephalic veins (previously called innominate veins) are major
vein
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 feta ...
s in the
upper chest, formed by the union of the
ipsilateral
Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...
internal jugular vein
The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve.
It begins in the posteri ...
and
subclavian vein
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
(the so-called
venous angle
The venous angle (also known as Pirogoff's angle and in Latin as ''angulus venosus'') is the junction where the ipsilateral internal jugular vein and subclavian vein unite to form the ipsilateral brachiocephalic vein. The thoracic duct drains at t ...
)
behind the
sternoclavicular joint
The sternoclavicular joint or sternoclavicular articulation is a Synovial joint, synovial Saddle joint, saddle joint between the sternum#Manubrium, manubrium of the sternum, and the clavicle bone, clavicle, and the first costal cartilage. The joi ...
.
The left brachiocephalic vein is more than twice the length of the right brachiocephalic vein.
These veins merge to form the
superior vena cava
The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm) short length vei ...
, a
great vessel
Great vessels are the large vessels that bring blood to and from the heart. These are:
* Superior vena cava
* Inferior vena cava
* Pulmonary arteries
* Pulmonary veins
* Aorta
Transposition of the great vessels is a group of congenital
A bir ...
, posterior to the junction of the first
costal cartilage
Costal cartilage, also known as rib cartilage, are bars of hyaline cartilage that serve to prolong the ribs forward and contribute to the elasticity of the walls of the thorax. Costal cartilage is only found at the anterior ends of the ribs, pr ...
with the
manubrium of the sternum.
The brachiocephalic veins are the major veins returning blood to the
superior vena cava
The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm) short length vei ...
.
Left and right veins

Left brachiocephalic vein
The left brachiocephalic vein is about 6cm, more than twice the length of the right brachiocephalic vein.
[subclavian and left ]internal jugular vein
The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve.
It begins in the posteri ...
s. In addition the left vein receives drainage from the following tributaries:
* The left vertebral vein
The vertebral vein is formed in the suboccipital triangle, from numerous small tributaries which spring from the internal vertebral venous plexuses and issue from the vertebral canal above the posterior arch of the atlas.
They unite with small ...
, internal thoracic vein
In human anatomy, the internal thoracic vein (previously known as the internal mammary vein) is the vein that drains the chest wall and breasts.
Structure
Bilaterally, the internal thoracic vein arises from the superior epigastric vein, and ...
, inferior thyroid veins
The inferior thyroid veins appear two, frequently three or four, in number, and arise in the venous plexus on the thyroid gland, communicating with the middle and superior thyroid veins. While the superior and middle thyroid veins serve as direct t ...
, superior intercostal vein
The superior intercostal veins are two veins that drain the 2nd, 3rd, and 4th intercostal spaces, one vein for each side of the body.
Right superior intercostal vein
The right superior intercostal vein drains the 2nd, 3rd, and 4th posterior inter ...
s, the thymic veins
Thymic veins are veins which drain the thymus. They are tributaries of the left brachiocephalic vein
The left and right brachiocephalic veins (previously called innominate veins) are major veins in the Thorax, upper chest, formed by the union of ...
and the pericardial veins
The smallest cardiac veins (also known as the Thebesian veins (named for Adam Christian Thebesius) are small, valveless veins in the walls of all four heart chambers that drain venous blood from the myocardium directly into any of the heart chamb ...
Right brachiocephalic vein
The right brachiocephalic vein is about 2.5cm long. The right vein is formed by the confluence of the right subclavian vein and the right internal jugular vein. It receives the following tributaries:
* The right vertebral vein, the internal thoracic vein, and the thyroid veins, and occasionally from the first right posterior intercostal veins.[Hip bone
The hip bone (os coxae, innominate bone, pelvic bone or coxal bone) is a large flat bone, constricted in the center and expanded above and below. In some vertebrates (including humans before puberty) it is composed of three parts: the Ilium (bone) ...]