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Deoxygenated blood enters the right atrium through three major veins: the superior and inferior vena cava and the coronary sinus. The superior vena cava returns all of the blood to the heart from tissues superior to the heart in the head, neck, arms and upper thorax. Likewise, the inferior vena cava returns blood to the heart from tissues inferior to the heart, including the legs, abdomen and lower thorax.
The inferior vena cava carries blood from the lower half of the body whilst the superior vena cava carries blood from the upper half of the body. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.ecause the inferior vena cava is located to the right of the midline, drainage of the tributaries is not always symmetrical. On the right, the gonadal veins and suprarenal veins drain into the inferior vena cava directly. On the left, they drain into the renal vein which in turn drains into the inferior vena cava.