Levo-Transposition of the great arteries accompanying defect(s). If a right-to-left or bidirectional shunt is present, the list of symptoms may include mild cyanosis. In a normal heart, oxygen-depleted ("deoxygenated") blood is pumped from the right atrium into the right ventricle, then through the pulmonary artery to the lungs where it is oxygenated. The oxygen-rich ("oxygenated") blood then returns, via the pulmonary veins, to the left atrium from which it is pumped into the left ventricle, then through the aorta to the rest of the body, including the heart muscle itself. With l-TGA, deoxygenated blood is pumped from the right atrium into the morphological left ventricle
Paraumbilical vein shunting blood to the superficial epigastric vein. The superficial epigastric vein drains to the femoral vein which ultimately drains into the inferior vena cava directly through the external iliac and common iliac vein, thereby bypassing the liver. Dilation of this particular portacaval anastomosis results in what is referred to as caput medusae. Paraumbilical vein In the course of the round ligament of liver, small veins (paraumbilical) are found which establish an anastomosis between the veins of the anterior abdominal wall and the hepatic portal, hypogastric, and iliac veins. The best marked of these small veins is one which commences at