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Principal Arteries of the body
• Aorta – has 3 parts:
1. Ascending aorta
• ascends from the heart (left ventricle)
• The coronary arteries are the only branch of the ascending aorta
that supplies the heart
2. Aortic arch
• Three vessels arise from the aortic arch:
– the brachiocephalic artery–supplies the upper limbs and head
regions
– left common carotid artery
– left subclavian artery
3. Descending aorta
– continuation of aortic arch
– Lies posterior to the heart and continues down ward to
become thoracic aorta
1
2
Aorta
• Brachiocephalic artery(trunk)
• Bifurcates into:
• the right common carotid artery and right
subclavian artery
– supplies the right side of head and neck & the right upper
limb
• Right subclavian artery
• The left common carotid artery and the left subclavian
artery branch directly from the aortic arch.
3
Arteries of the head and neck
• Common carotid artery
• ascends upwards in the neck lateral to trachea
• divides slightly below the angle of the mandible into
• the internal carotid artery and
• the external carotid artery
• The brain is supplied by four arteries:
• Paired vertebral arteries (i.e., right and left) which
forms basilar arteries and
• Paired internal carotid arteries.
4
1. The vertebral artery
• arises from the subclavian artery
• ascends in the neck through the transverse foramen
• enters the cranial cavity through the foramen magnum.
• The right and left vertebral arteries unite to form the
basilar artery.
5
6
2. The internal carotid arteries
• is divided into:
1. the ophthalmic artery
– supplies the eye, and
2. the anterior and middle cerebral arteries
– supply the cerebrum.
The external carotid arteries
– branches are named according to the area or
structures they supply
1. Superior thyroid artery
• supply hyoid, larynx, vocal cords, thyroid gland.
7
1. .
2. Ascending pharyngeal artery - supply pharyngeal area
3. Lingual artery -supply tongue and sublingual gland
4. Facial artery- supply pharyngeal, palate, chin, lips, nasal
region
5. Occipital artery
• supply scalp (posteriorly), meninges, mastoid region,
some of the posterior neck muscles
6. Maxillary artery
• supply teeth, gums, muscles of mastication, nasal
cavities, eyelids
7. Superficial temporal artery
• supply parotid gland, side of the head.
8
Branches of the External Carotid Arteries
9
Arteries of the upper limbs
• Right subclavian- from
brachiocephalic.and
• left subclavian- from aortic arch.
– It has several branches in the
thorax but becomes the
axillary artery as it passes in
the axilla.
– It becomes the brachial artery
in the arm.
• Site for BP(blood pressure
measurement)
10
• The brachial artery bifurcates at the cubital fossa into:
1. Radial artery- supplies muscles on the radial side of the
forearm. It is the site of measuring pulse.
2. Ulnar artery – supplies muscles on the ulnar side of the
forearm.
– Both arteries form:
• palmar arch in the palm and
• digital arteries supplying the digits.
11
12
The brachial artery & its branches
13
• Branches of the thoracic portion of aorta
• It is a continuation of the aortic arch
• descends though the thoracic cavity to diaphragm
• gives branches to the muscles and organs of thoracic
region;
1. Pericardial artery
supply the pericardium of heart,
2. Bronchial artery
supply the systemic circulation to the lungs.
14
Branches of the abdominal portion of aorta
• Abdominal aorta is the segment between diaphragm
and L4
• Has three main unpaired branches
• Has also other paired branches
• Unpaired Branches
1. Celiac trunk
• short, thick, branch, which divides into three vessels:
–Splenic artery (to spleen)
–Left gastric artery ( to stomach)
–Common hepatic (to liver)
15
16
Unpaired Branches of Abdominal Aorta
2. Superior mesenteric artery
• to the small intestine (except the duodenum), cecum,
appendix, transverse(1/2), and ascending colons
3. Inferior mesenteric artery
• last major, anterior, unpaired branch just before
bifurcation into the common iliac arteries.
–Supplies half part of the transverse colon, the
descending, and sigmoid colons, rectum
• Paired branches of abdominal aorta:
1. Renal artery– to kidney
2. Suprarenal artery - to adrenal glands
3. Testicular artery - to testes
4. ovarian artery - to ovaries
17
• Arteries of the pelvis and lower limbs
The abdominal aorta terminates by bifurcating into:
1. right common iliac arteries
2. left common iliac arteries
The common iliac divides into
• the internal iliac and
• external iliac.
18
19
The internal iliac artery
• supply gluteal muscles and organs of the pelvic region
Urinary bladder , rectum , anal canal
• branches
• Middle rectal - internal visceral organs of the pelvis
• Superior, inferior, middle vesicular arteries - urinary
bladder
• Uterine and vaginal arteries - female reproductive
organs
• Superior and inferior gluteal arteries - gluteal muscles.
• Obturator artery - upper medial thigh muscles
• Internal pudendal artery - perineum and external
genitalia of male and female
20
The external iliac artery
• passes out of pelvis beneath the inguinal ligament to
become the femoral artery
– Femoral artery
• passes through the femoral triangle on the upper
medial portion of the thigh.
• At this point it is close to the surface, hence for
pulpation and pressure.
• the femoral artery becomes the popliteal artery as it
passes across the posterior aspect of the knee.
21
22
The popliteal artery
• divides into the
– anterior tibial and
– the posterior tibial arteries
• the anterior tibial artery at the ankle, becomes
» the dorsal pedal artery
»forms the plantar arch with the lateral plantar
artery of the posterior tibial artery.
»The dorsal pedal artery is the site from which
the most distal pulse is recorded to get
information about circulation.
23
• The posterior tibial artery
• forms the large fibular artery which supplies the
peroneal muscles of the leg.
• At the ankle it bifurcates into the lateral and medial
plantar arteries.
• The lateral plantar artery forms the plantar arch and
gives off digital arteries to the digits of the foot.
24
Venous drainage of the body
Veins Draining the head and neck
• External jugular vein
• from scalp, portions of face, superficial neck region
• drain into right and left subclavian vein.
• Internal jugular vein
• from brain, meniges, deep regions of face and neck
• larger and deeper than the external jugular vein
• passes in carotid sheath with the common carotid and
vagus nerve beneath sternocleidomastoid muscle
• subclavian vein and internal jugular unite to form the
brachiocephalic vein
• the two brachiocephalic veins merge to form the superior
vena cava, which empties into the right atrium
25
Veins of the upper extremity
• Consists of superficial and deep venous drainage
• Deep veins
– accompany the arteries and bear their names / region
• radial vein & ulnar vein
– both drain from deep and superficial palmar
arches
–radial and ulnar veins join in the cubital fossa to
form the brachial vein, which continues up on the
medial side of the arm.
• Brachial vein -axiliary → subclavian → internal
jugular → brachiocephalic
26
Superficial veins
– are the basilic and
– cephalic veins
• basilic vein
• drains blood from ulnar side of forearm, medial side of
arm
• merges with brachial vein near the head of the humerus
to form the axillary vein
• cephalic vein
• drains superficial region of hand and forearm on radial
side
• joins axillary vein in the shoulder region
• median cubital vein ascends from the cephalic vein to
join basilic vein on radial side.
• It is a site of venipuncture
27
Veins of the thorax
• Superior vena cava
• receives blood from the right and left brachiocephalic
veins, which drain head, neck, and upper limb as well as
from azygous veins.
• lacks valves which are characteristics of most veins
• The azygous vein
• extends superiorly along the dorsal abdominal and
thoracic walls on the right side of the vertebral column
28
Cont…
• joins the superior vena cava at T4.
• Its tributaries are:
• ascending lumbar veins - drain from lumbar and
sacral regions
• intercostals veins- from intercostals regions
• accessory hemiazygous and hemiazygous veins– from left
of the vertebral column
Veins of the lower extremity
• have a deep and a superficial group
• The deep veins
• accompany the corresponding arteries
• These include
29
• These include:
• posterior and anterior tibial veins
• originate in the foot and descend upwards in front of
the tibia to the back of the knee where they merge to
form the popliteal vein.
• Popliteal vein
• drains blood from the knee region and above the
knee, it becomes the femoral vein
• the femoral vein
• receives blood from the deep femoral vein and above
this, receives from the great saphenous vein, then
becomes the external iliac vein (as it passes under the
inguinal ligament).
• the external iliac vein
• merges with the internal iliac vein to form the
common iliac vein
30
• The superficial vein include
• small saphenous vein
• arises from the lateral side of the foot, courses
posteriorly along the surface of the calf of the leg
and enters deep into the popliteal vein behind the
knee.
• Great saphenous vein
• longest vessel in the body, originates at the arch of
the foot and ascends superiorly along the medial
aspect of the leg and thigh before draining into the
femoral vein.
31
Veins of the Abdominal Region
• The inferior vena cava
• parallels the abdominal aorta on the right as it ascends
through the abdominal cavity.
• It penetrates the diaphragm and empties into the right
atrium
• largest in diameter of all vessels in the body
• in the abdomen has tributaries corresponding to the
branches of the abdominal aorta .
• (Exceptions: the left testicular vein, left ovarian vein and
the left suprarenal vein drain into the left renal vein)
32
• 4 paired lumbar veins
• renal veins
• right and left testicular veins.
• right and left ovarian veins
• right and left suprarenal veins.
• inferior phrenic vein
• right and left hepatic veins
33
Hepatic portal system
• A portal system is one in which the veins that drain one
group of capillaries delivers blood to another group of
capillaries, which in turn are drained by systemic veins that
carry blood to the vena cava and then into the right atrium
of heart.
• two capillary beds in series:
• veins that drain blood from capillaries in the internal
pancreas, spleen, gallbladder into the capillaries in
the liver (sinusoids)
• right and left hepatic veins that drain the liver into the
inferior vena cava
34
Hepatic portal system cont…
• Hepatic portal vein – drains blood from digestive organs
• formed by union of superior mesenteric vein (from small
intestine) and splenic vein (from spleen)
• Splenic vein is formed by convergence of - inferior
mesenteric vein (from large intestine), pancreatic vein, left
gastroepiploic vein.
• The right gastroepiploic vein from stomach drains directly
into the superior mesenteric vein.
• Three veins other veins drain directly into the portal vein:
left and right gastric vein (from lesser curvature) and cystic
vein (from gall bladder).
35
36

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Vessels of our ody.pdf

  • 1. Principal Arteries of the body • Aorta – has 3 parts: 1. Ascending aorta • ascends from the heart (left ventricle) • The coronary arteries are the only branch of the ascending aorta that supplies the heart 2. Aortic arch • Three vessels arise from the aortic arch: – the brachiocephalic artery–supplies the upper limbs and head regions – left common carotid artery – left subclavian artery 3. Descending aorta – continuation of aortic arch – Lies posterior to the heart and continues down ward to become thoracic aorta 1
  • 3. • Brachiocephalic artery(trunk) • Bifurcates into: • the right common carotid artery and right subclavian artery – supplies the right side of head and neck & the right upper limb • Right subclavian artery • The left common carotid artery and the left subclavian artery branch directly from the aortic arch. 3
  • 4. Arteries of the head and neck • Common carotid artery • ascends upwards in the neck lateral to trachea • divides slightly below the angle of the mandible into • the internal carotid artery and • the external carotid artery • The brain is supplied by four arteries: • Paired vertebral arteries (i.e., right and left) which forms basilar arteries and • Paired internal carotid arteries. 4
  • 5. 1. The vertebral artery • arises from the subclavian artery • ascends in the neck through the transverse foramen • enters the cranial cavity through the foramen magnum. • The right and left vertebral arteries unite to form the basilar artery. 5
  • 6. 6
  • 7. 2. The internal carotid arteries • is divided into: 1. the ophthalmic artery – supplies the eye, and 2. the anterior and middle cerebral arteries – supply the cerebrum. The external carotid arteries – branches are named according to the area or structures they supply 1. Superior thyroid artery • supply hyoid, larynx, vocal cords, thyroid gland. 7
  • 8. 1. . 2. Ascending pharyngeal artery - supply pharyngeal area 3. Lingual artery -supply tongue and sublingual gland 4. Facial artery- supply pharyngeal, palate, chin, lips, nasal region 5. Occipital artery • supply scalp (posteriorly), meninges, mastoid region, some of the posterior neck muscles 6. Maxillary artery • supply teeth, gums, muscles of mastication, nasal cavities, eyelids 7. Superficial temporal artery • supply parotid gland, side of the head. 8 Branches of the External Carotid Arteries
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  • 10. Arteries of the upper limbs • Right subclavian- from brachiocephalic.and • left subclavian- from aortic arch. – It has several branches in the thorax but becomes the axillary artery as it passes in the axilla. – It becomes the brachial artery in the arm. • Site for BP(blood pressure measurement) 10
  • 11. • The brachial artery bifurcates at the cubital fossa into: 1. Radial artery- supplies muscles on the radial side of the forearm. It is the site of measuring pulse. 2. Ulnar artery – supplies muscles on the ulnar side of the forearm. – Both arteries form: • palmar arch in the palm and • digital arteries supplying the digits. 11
  • 12. 12 The brachial artery & its branches
  • 13. 13
  • 14. • Branches of the thoracic portion of aorta • It is a continuation of the aortic arch • descends though the thoracic cavity to diaphragm • gives branches to the muscles and organs of thoracic region; 1. Pericardial artery supply the pericardium of heart, 2. Bronchial artery supply the systemic circulation to the lungs. 14
  • 15. Branches of the abdominal portion of aorta • Abdominal aorta is the segment between diaphragm and L4 • Has three main unpaired branches • Has also other paired branches • Unpaired Branches 1. Celiac trunk • short, thick, branch, which divides into three vessels: –Splenic artery (to spleen) –Left gastric artery ( to stomach) –Common hepatic (to liver) 15
  • 16. 16 Unpaired Branches of Abdominal Aorta
  • 17. 2. Superior mesenteric artery • to the small intestine (except the duodenum), cecum, appendix, transverse(1/2), and ascending colons 3. Inferior mesenteric artery • last major, anterior, unpaired branch just before bifurcation into the common iliac arteries. –Supplies half part of the transverse colon, the descending, and sigmoid colons, rectum • Paired branches of abdominal aorta: 1. Renal artery– to kidney 2. Suprarenal artery - to adrenal glands 3. Testicular artery - to testes 4. ovarian artery - to ovaries 17
  • 18. • Arteries of the pelvis and lower limbs The abdominal aorta terminates by bifurcating into: 1. right common iliac arteries 2. left common iliac arteries The common iliac divides into • the internal iliac and • external iliac. 18
  • 19. 19
  • 20. The internal iliac artery • supply gluteal muscles and organs of the pelvic region Urinary bladder , rectum , anal canal • branches • Middle rectal - internal visceral organs of the pelvis • Superior, inferior, middle vesicular arteries - urinary bladder • Uterine and vaginal arteries - female reproductive organs • Superior and inferior gluteal arteries - gluteal muscles. • Obturator artery - upper medial thigh muscles • Internal pudendal artery - perineum and external genitalia of male and female 20
  • 21. The external iliac artery • passes out of pelvis beneath the inguinal ligament to become the femoral artery – Femoral artery • passes through the femoral triangle on the upper medial portion of the thigh. • At this point it is close to the surface, hence for pulpation and pressure. • the femoral artery becomes the popliteal artery as it passes across the posterior aspect of the knee. 21
  • 22. 22
  • 23. The popliteal artery • divides into the – anterior tibial and – the posterior tibial arteries • the anterior tibial artery at the ankle, becomes » the dorsal pedal artery »forms the plantar arch with the lateral plantar artery of the posterior tibial artery. »The dorsal pedal artery is the site from which the most distal pulse is recorded to get information about circulation. 23
  • 24. • The posterior tibial artery • forms the large fibular artery which supplies the peroneal muscles of the leg. • At the ankle it bifurcates into the lateral and medial plantar arteries. • The lateral plantar artery forms the plantar arch and gives off digital arteries to the digits of the foot. 24
  • 25. Venous drainage of the body Veins Draining the head and neck • External jugular vein • from scalp, portions of face, superficial neck region • drain into right and left subclavian vein. • Internal jugular vein • from brain, meniges, deep regions of face and neck • larger and deeper than the external jugular vein • passes in carotid sheath with the common carotid and vagus nerve beneath sternocleidomastoid muscle • subclavian vein and internal jugular unite to form the brachiocephalic vein • the two brachiocephalic veins merge to form the superior vena cava, which empties into the right atrium 25
  • 26. Veins of the upper extremity • Consists of superficial and deep venous drainage • Deep veins – accompany the arteries and bear their names / region • radial vein & ulnar vein – both drain from deep and superficial palmar arches –radial and ulnar veins join in the cubital fossa to form the brachial vein, which continues up on the medial side of the arm. • Brachial vein -axiliary → subclavian → internal jugular → brachiocephalic 26
  • 27. Superficial veins – are the basilic and – cephalic veins • basilic vein • drains blood from ulnar side of forearm, medial side of arm • merges with brachial vein near the head of the humerus to form the axillary vein • cephalic vein • drains superficial region of hand and forearm on radial side • joins axillary vein in the shoulder region • median cubital vein ascends from the cephalic vein to join basilic vein on radial side. • It is a site of venipuncture 27
  • 28. Veins of the thorax • Superior vena cava • receives blood from the right and left brachiocephalic veins, which drain head, neck, and upper limb as well as from azygous veins. • lacks valves which are characteristics of most veins • The azygous vein • extends superiorly along the dorsal abdominal and thoracic walls on the right side of the vertebral column 28
  • 29. Cont… • joins the superior vena cava at T4. • Its tributaries are: • ascending lumbar veins - drain from lumbar and sacral regions • intercostals veins- from intercostals regions • accessory hemiazygous and hemiazygous veins– from left of the vertebral column Veins of the lower extremity • have a deep and a superficial group • The deep veins • accompany the corresponding arteries • These include 29
  • 30. • These include: • posterior and anterior tibial veins • originate in the foot and descend upwards in front of the tibia to the back of the knee where they merge to form the popliteal vein. • Popliteal vein • drains blood from the knee region and above the knee, it becomes the femoral vein • the femoral vein • receives blood from the deep femoral vein and above this, receives from the great saphenous vein, then becomes the external iliac vein (as it passes under the inguinal ligament). • the external iliac vein • merges with the internal iliac vein to form the common iliac vein 30
  • 31. • The superficial vein include • small saphenous vein • arises from the lateral side of the foot, courses posteriorly along the surface of the calf of the leg and enters deep into the popliteal vein behind the knee. • Great saphenous vein • longest vessel in the body, originates at the arch of the foot and ascends superiorly along the medial aspect of the leg and thigh before draining into the femoral vein. 31
  • 32. Veins of the Abdominal Region • The inferior vena cava • parallels the abdominal aorta on the right as it ascends through the abdominal cavity. • It penetrates the diaphragm and empties into the right atrium • largest in diameter of all vessels in the body • in the abdomen has tributaries corresponding to the branches of the abdominal aorta . • (Exceptions: the left testicular vein, left ovarian vein and the left suprarenal vein drain into the left renal vein) 32
  • 33. • 4 paired lumbar veins • renal veins • right and left testicular veins. • right and left ovarian veins • right and left suprarenal veins. • inferior phrenic vein • right and left hepatic veins 33
  • 34. Hepatic portal system • A portal system is one in which the veins that drain one group of capillaries delivers blood to another group of capillaries, which in turn are drained by systemic veins that carry blood to the vena cava and then into the right atrium of heart. • two capillary beds in series: • veins that drain blood from capillaries in the internal pancreas, spleen, gallbladder into the capillaries in the liver (sinusoids) • right and left hepatic veins that drain the liver into the inferior vena cava 34
  • 35. Hepatic portal system cont… • Hepatic portal vein – drains blood from digestive organs • formed by union of superior mesenteric vein (from small intestine) and splenic vein (from spleen) • Splenic vein is formed by convergence of - inferior mesenteric vein (from large intestine), pancreatic vein, left gastroepiploic vein. • The right gastroepiploic vein from stomach drains directly into the superior mesenteric vein. • Three veins other veins drain directly into the portal vein: left and right gastric vein (from lesser curvature) and cystic vein (from gall bladder). 35
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