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Aorta
Origin:
Left ventricle (aortic vestibule)
Course:
Has three regions: ascending, arch, and descending
Ascending aorta: ascends short distance (5 cm) within pericardium
Arch of aorta: arches diagonally and posteriorly to the left
Descending aorta: has thoracic and abdominal parts
Thoracic part of descending aorta shifts from left side of vertebral column to midline position as it descends
Distribution:
All organs of body (via branches)
Branches:
Right and left coronary
Brachiocephalic
Left subclavian
Left common carotid
Esophageal
Bronchial
Posterior intercostal (11 pairs)
Subcostal
Celiac
Superior mesenteric
Inferior mesenteric
Middle suprarenal
Renal
Gonadal
Inferior phrenic
Lumbar
Median sacral
Continues as right and left common iliac
Comment:
Has aortic (semilunar) valve at origin
Large arteries do not by themselves supply structures, but do so through their branches

Ligamentum arteriosum
Origin:
Left pulmonary artery
Course:
Ascends to attach to arch of aorta on its concave surface
Comment:
A fibrous cord
Remnant of ductus arteriosus in fetus
Ductus arteriosus shunts blood in fetus from pulmonary artery to aorta, thereby bypassing lungs

Pulmonary trunk
Origin:
Right ventricle
Course:
Ascends within pericardium
Initially anterior to ascending aorta and then to its left and slightly posterior
Distribution:
Lungs
Branches:
Right pulmonary artery
Left pulmonary artery
Comment:
Conveys oxygen-poor blood from right ventricle of heart
Has pulmonary (semilunar) valve at its origin
Large arteries do not by themselves supply structures, but do so through their branches

Superior vena cava
Drainage:
Head
Upper limbs
Posterior thoracic walls
Mediastinal structures
Tributaries:
Formed by union of right and left brachiocephalic veins
Arch of azygos vein
Course:
Descends in mediastinum from level of right 1st costal cartilage
Termination:
Right atrium
