chapter 18: anatomy of the blood vessels chapter 18: anatomy of the blood vessels

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The H um an Body in Health and Illness Barbara H erlihy Chapter 18: Anatomy of the Blood Vessels

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Page 1: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

TheHuman Bodyin Healthand Illness

Barbara Herlihy

Chapter 18:Anatomy of the Blood

Vessels

Chapter 18:Anatomy of the Blood

Vessels

Page 2: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

All rights reserved.

2

Circles, Circuits, and CirculationCircles, Circuits, and Circulation

Page 3: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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3

Circles, Circuits, and Circulation (cont’d.)

Circles, Circuits, and Circulation (cont’d.)

• Pulmonary circulation: carries blood from the right ventricle of the heart to the lungs and back to the left atrium of the heart

• Systemic circulation: provides the blood supply to the rest of the body

• Pulmonary circulation: carries blood from the right ventricle of the heart to the lungs and back to the left atrium of the heart

• Systemic circulation: provides the blood supply to the rest of the body

Page 4: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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4

Types of Blood VesselsTypes of Blood Vessels

• Arteries– Arterioles

• Capillaries• Veins

– Venules

• Arteries– Arterioles

• Capillaries• Veins

– Venules

Page 5: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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5

Types of Blood Vessels (cont’d.)Types of Blood Vessels (cont’d.)

Page 6: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Types of Blood Vessels (cont’d.)Types of Blood Vessels (cont’d.)

• Arteries– Structure: thick wall with three layers– Function: carry blood from the heart to the

arterioles– Arterioles: thinner walls, contract and relax due

to muscle changes

• Arteries– Structure: thick wall with three layers– Function: carry blood from the heart to the

arterioles– Arterioles: thinner walls, contract and relax due

to muscle changes

Page 7: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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7

Types of Blood Vessels (cont’d.)Types of Blood Vessels (cont’d.)

• Capillaries:– Structure: layer of endothelium– Function: exchange vessels

• Capillaries:– Structure: layer of endothelium– Function: exchange vessels

Page 8: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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8

Types of Blood Vessels (cont’d.)Types of Blood Vessels (cont’d.)

• Veins– Structure: three layers, but thinner and less

elastic than arteries; contain valves– Function: collect and return blood from the

tissues to the heart– Venules: thin walls, hold and store blood

• Veins– Structure: three layers, but thinner and less

elastic than arteries; contain valves– Function: collect and return blood from the

tissues to the heart– Venules: thin walls, hold and store blood

Page 9: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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9

Blood Vessels: What They DoBlood Vessels: What They Do

• Arteries– Conductance vessels: large arteries conduct

blood from heart to arterioles

• Arterioles– Resistance vessels: arterioles resist the flow of

blood by constricting, or offer less resistance by dilating

• Arteries– Conductance vessels: large arteries conduct

blood from heart to arterioles

• Arterioles– Resistance vessels: arterioles resist the flow of

blood by constricting, or offer less resistance by dilating

Page 10: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Blood Vessels: What They Do (cont’d.)Blood Vessels: What They Do (cont’d.)

• Capillaries– Exchange vessels: capillaries allow exchange

of nutrients and waste

• Veins and venules– Capacitance vessels: blood storage

• Capillaries– Exchange vessels: capillaries allow exchange

of nutrients and waste

• Veins and venules– Capacitance vessels: blood storage

Page 11: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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11

Major Arteries of theSystemic CirculationMajor Arteries of theSystemic Circulation

Page 12: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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12

Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

• Aorta: the mother of all arteries– Location: originates in the left ventricle of the

heart, curves and descends through the thorax and abdomen, then splits into two common iliac arteries

– Branches:• Ascending aorta• Aortic arch• Descending aorta (thoracic aorta)• Descending aorta (abdominal aorta)

• Aorta: the mother of all arteries– Location: originates in the left ventricle of the

heart, curves and descends through the thorax and abdomen, then splits into two common iliac arteries

– Branches:• Ascending aorta• Aortic arch• Descending aorta (thoracic aorta)• Descending aorta (abdominal aorta)

Page 13: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

All rights reserved.

13

Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

Page 14: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

• Branches of the ascending aorta: – Right coronary artery– Left coronary artery

• Branches of the ascending aorta: – Right coronary artery– Left coronary artery

Page 15: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

• Branches of the aortic arch: – Brachiocephalic artery– Left common carotid artery– Left subclavian artery– Right subclavian artery

• Branches of the aortic arch: – Brachiocephalic artery– Left common carotid artery– Left subclavian artery– Right subclavian artery

Page 16: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

• Branches of the descending aorta (thoracic aorta): – Intercostal arteries– Other small arteries supply the organs in the

thorax

• Branches of the descending aorta (thoracic aorta): – Intercostal arteries– Other small arteries supply the organs in the

thorax

Page 17: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Arteries of theSystemic Circulation (cont’d.)

Major Arteries of theSystemic Circulation (cont’d.)

• Branches of the descending aorta (abdominal aorta): – Celiac trunk: gastric artery, splenic artery, and

hepatic artery– Mesenteric arteries: superior mesenteric artery

and inferior mesenteric artery– Renal arteries, gonadal arteries, and lumbar

arteries– Right and left common iliac arteries– Major arteries of the thigh, leg, and foot

• Branches of the descending aorta (abdominal aorta): – Celiac trunk: gastric artery, splenic artery, and

hepatic artery– Mesenteric arteries: superior mesenteric artery

and inferior mesenteric artery– Renal arteries, gonadal arteries, and lumbar

arteries– Right and left common iliac arteries– Major arteries of the thigh, leg, and foot

Page 18: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Veins of theSystemic CirculationMajor Veins of theSystemic Circulation• Vena cava: the main vein

– Superior vena cava (SVC)– Inferior vena cava (IVC)

• Vena cava: the main vein– Superior vena cava (SVC)– Inferior vena cava (IVC)

Page 19: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

All rights reserved.

19

Major Veins of theSystemic Circulation (cont’d.)

Major Veins of theSystemic Circulation (cont’d.)

Page 20: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Veins of theSystemic Circulation (cont’d.)

Major Veins of theSystemic Circulation (cont’d.)

• Superior vena cava: receives blood from the head, shoulder, and upper extremities

• Veins that drain into the SVC:– Cephalic vein– Basilic vein– Medial cubital vein– Subclavian veins– Jugular veins– Brachiocephalic veins– Azygos vein

• Superior vena cava: receives blood from the head, shoulder, and upper extremities

• Veins that drain into the SVC:– Cephalic vein– Basilic vein– Medial cubital vein– Subclavian veins– Jugular veins– Brachiocephalic veins– Azygos vein

Page 21: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Major Veins of theSystemic Circulation (cont’d.)

Major Veins of theSystemic Circulation (cont’d.)

• Inferior vena cava: receives blood from all regions of the body below the diaphragm

• Veins that drain into the IVC:– Tibial veins– Peroneal veins– Popliteal veins– Femoral veins– Iliac veins– Great saphenous veins– Renal veins– Hepatic veins

• Inferior vena cava: receives blood from all regions of the body below the diaphragm

• Veins that drain into the IVC:– Tibial veins– Peroneal veins– Popliteal veins– Femoral veins– Iliac veins– Great saphenous veins– Renal veins– Hepatic veins

Page 22: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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22

Special CirculationsSpecial Circulations

• Blood supply to the head and brain• Blood supply to the liver• Fetal circulation

• Blood supply to the head and brain• Blood supply to the liver• Fetal circulation

Page 23: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Head and brain blood supply:– Carotid arteries:

• Right and left common carotid arteries• External and internal carotid arteries

– Vertebral arteries:• Right and left vertebral arteries• Basilar artery

• Circle of Willis: circle of arteries composed of branches from the internal carotid arteries and the basilar artery

• Head and brain blood supply:– Carotid arteries:

• Right and left common carotid arteries• External and internal carotid arteries

– Vertebral arteries:• Right and left vertebral arteries• Basilar artery

• Circle of Willis: circle of arteries composed of branches from the internal carotid arteries and the basilar artery

Page 24: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Venous drainage of the head and brain:– External jugular veins: drain blood from the

posterior head and neck region– Internal jugular veins: drain blood from the

anterior head, face, and neck

• Venous drainage of the head and brain:– External jugular veins: drain blood from the

posterior head and neck region– Internal jugular veins: drain blood from the

anterior head, face, and neck

Page 25: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

Page 26: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Blood supply to the liver:– Portal vein: carries blood rich in digestive end

products from the organs of digestion to the liver

– Hepatic veins: drain blood from the liver and deliver it to the IVC

– Hepatic artery: carries oxygen-rich blood to the liver

• Blood supply to the liver:– Portal vein: carries blood rich in digestive end

products from the organs of digestion to the liver

– Hepatic veins: drain blood from the liver and deliver it to the IVC

– Hepatic artery: carries oxygen-rich blood to the liver

Page 27: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Splanchnic circulation: blood flow to the stomach, spleen, pancreas, intestines, and liver; very adjustable

• Splanchnic circulation: blood flow to the stomach, spleen, pancreas, intestines, and liver; very adjustable

Page 28: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Fetal circulation modifications:– Umbilical blood vessels:

• Umbilical vein: carries blood rich in oxygen and nutrients from the placenta to the fetus

• Umbilical arteries: carry carbon dioxide and other waste from the fetus to the placenta

• Fetal circulation modifications:– Umbilical blood vessels:

• Umbilical vein: carries blood rich in oxygen and nutrients from the placenta to the fetus

• Umbilical arteries: carry carbon dioxide and other waste from the fetus to the placenta

Page 29: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

• Fetal circulation modifications (cont’d.):– Ductus venosus: vessel that connects the

umbilical vein with the IVC in the fetus– Foramen ovale: opening in the interatrial

septum of the heart– Ductus arteriosus: short tube that connects the

pulmonary artery with the aorta

• Fetal circulation modifications (cont’d.):– Ductus venosus: vessel that connects the

umbilical vein with the IVC in the fetus– Foramen ovale: opening in the interatrial

septum of the heart– Ductus arteriosus: short tube that connects the

pulmonary artery with the aorta

Page 30: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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Special Circulations (cont’d.)Special Circulations (cont’d.)

Page 31: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

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31

PulsePulse

• Pulse: pressure wave caused by the alternating expansion and recoil of the arteries with each beat of the heart

• Helps determine:– Heart rate– Rhythm – Strength – Arterial circulatory health

• Pulse: pressure wave caused by the alternating expansion and recoil of the arteries with each beat of the heart

• Helps determine:– Heart rate– Rhythm – Strength – Arterial circulatory health

Page 32: Chapter 18: Anatomy of the Blood Vessels Chapter 18: Anatomy of the Blood Vessels

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Pulse (cont’d.)Pulse (cont’d.)