Inferior vena cava

The inferior vena cava is a major vein returning blood from most regions below the diaphragm to the right atrium. It forms from the joining common iliac veins and receives abdominal tributaries, including the hepatic veins.^[ref] Inferior describes its anatomical relationship to the upper return channel, not a ranking of its physiological importance.

The inferior vena cava carries a mixture of regional returns. The hepatic vein connection brings blood that has passed through the liver; other tributaries represent other tissues. The composition at one location can therefore depend on which tributaries have joined and how their streams mix. Sampling a large return vessel is not automatically the same as measuring fully mixed venous oxygen content.

For an original mixing example, suppose two tributary groups deliver 2 and 1 litres per minute with oxygen contents 0.12 and $0.06\mathrm{mL}{\mathrm{O}}_2\mathrm{m}{\mathrm{L}}^{-1}$. After complete mixing without oxygen exchange,An equal-weight average would give 0.09 and would ignore how much blood each group contributes. If a sampling location has not yet mixed the two streams, even the flow-weighted calculation need not describe a local sample.

The vessel also participates in venous storage and return under changing pressure. Its volume change obeys inflow minus outflow, so temporary changes in return need not imply that a tissue suddenly changed oxygen use. Anatomy identifies the contributing routes; conservation of mass, flow and adequate mixing determine how their transported substances combine.