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3 types of blood vessels
Arteries
Capillaries
Veins
Arteries
Convey blood from the heart to capillaries
Have thicker tunica media and a narrower lumen, have more elastic and collagen fibers that help them retain their shape, making them more resilient and resistant to changes in blood pressure
Capillaries
Microscopic porous blood vessels that exchange substances between blood and tissues, connecting arterioles to venules
Have only tunica intima with no subendothelial layer, only composed of endothelium and a basement membrane, which lets them to have a thin wall that allows for rapid gas and nutrient exchange
3 types: Continuous, fenestrated, and sinusoid
Veins
Transport blood from capillaries to the heart, generally less in quantity than arteries
Have thicker tunica externa and larger lumen, have less elastic and collagen fibers, making them more susceptible to their walls collapsing if there’s no blood in the vessel
General structure of vessels
Lumen
3 tunics:
Tunica intima
Tunica media
Tunica externa
Lumen
The inside space, hollow cavity, or channel within a vessel
Tunica intima
The innermost layer of the vessel wall, composed of simple squamous epithelium and a subendothelial layer of areolar connective tissue
AKA “endothelium”
Tunica media
The middle layer of the vessel wall, composed of circularly-arranged layers of smooth muscle cells with elastic fibers
Contractions of this vessel wall causes vasoconstriction and narrows the lumen, while relaxation of this vessel well causes vasodilation and widens the lumen
Tunica externa
The outermost layer of the vessel wall, composed of areolar connective tissue with elastic and collagen fibers, which helps anchor the vessel to other structures
May also contain vasa vasorum
Vasa vasorum
Small arteries that supply very large vessels’ walls of both arteries and veins
Different vessel types
Companion vessels
Arteries
Veins
Capillaries
Varicose veins
Caused by a sedentary lifestyle, which weakens venous valves and causes blood to pool
Artery branching
Vessels branch into smaller vessels extending from the heart, ultimately decreasing lumen diameter and elastic fibers, while increasing in relative amount of smooth muscle
Types of arteries
Elastic
Muscular
Arterioles
Elastic arteries
Contains tunica intima, tunica media, and tunica externa, with elastic fibers distributed within the tunica media
Muscular arteries
Contains tunica intima, tunica media, and tunica externa, with elastic fibers in 2 layers surrounding the tunica media (internal elastic lamina and external elastic lamina)
Arterioles
Composed of almost entirely of smooth muscle layers and tunica media
Continuous capillaries
Capillaries with endothelial cells forming a continuous lining, with intercellular clefts, allowing smaller molecules to pass through the wall through pinocytosis
Commonly found in muscle, skin, lungs, and the CNS
Intercellular clefts
Tight junctions/gaps between endothelial cells of a continuous capillary wall
Pinocytosis
A type of active endocytosis where a cell engulfs extracellular fluid and dissolved solutes into tiny, membrane-bound vesicles; Done by continuous and fenestrated capillaries
AKA “cellular drinking”
Fenestrated capillaries
Capillaries with endothelial cells forming a continuous lining but the cells have fenestrations (pores)
Commonly found in areas where much fluid transport happens
Sinusoid capillaries
Capillaries with endothelial cells forming an incomplete lining with large gaps, with an incomplete or absent basement membrane, allowing transport of large substances (ex. formed elements, large proteins)
Commonly found in bone marrow, spleen, and some endocrine glands
Capillary beds
Groups of capillaries functioning together, which are fed by metarteriole
Metarteriole
A vessel branch of an arteriole that feeds capillary beds, consisting of a proximal part encircled by scattered smooth muscle cells, a distal part thoroughfare channel that has no smooth muscle cells, and connects to a postcapillary venule that drains the capillary bed
Thoroughfare channel
A specialized, intermediate blood vessel in a capillary bed that connects a metarteriole directly to a postcapillary venule
True capillaries
Vessels branching from the metarteriole, making up most of the capillary bed
Precapillary sphincter
Smooth muscle ring at the true capillary origin, with its relaxation allowing blood flow into the true capillaries and its contraction causing blood to bypass the capillary bed, ultimately permitting vasomotion
Vasomotion
Cycle of contraction and relaxation of precapillary sphincters
Perfusion
Amount of blood entering the capillaries per unit time per gram of tissue (mL/min/g)
Companion vessels
Pairs of arteries and veins that travel together through the same body regions, and share the same or similar names
Ex. Brachial artery and brachial vein
Venules
The smallest veins with diameters of 8-100 micrometers, being the companion vessels of arterioles, and ultimately merge to form veins
Smallest ones are the postcapillary venules and the largest ones have all 3 tunics
Small and medium-sized veins
Companion vessels with muscular arteries
Largest veins
Companion vessels with elastic arteries
Valves of the veins
Structures that prevent blood from pooling in the limbs and causing backflow of blood, which ensures flow toward the heart
Composed of tunica intima, and elastic and collagen fibers
What percentage of blood is in systemic circulation? (Systemic veins, systemic arteries, and systemic capillaries)
70%
55%, 10%, 5%
What percentage of blood is in pulmonary circulation?
18%
What percentage of blood is in the heart?
12%
Bloodflow in veins
Vasoconstriction moves blood into circulation, while vasodilation moves blood back into reservoirs
Pulmonary circulation
Blood draining into the right atrium of the heart, entering into the lung, and ultimately draining into the left atrium
Vessels of this circulation have less elastic connective tissue, wider lumen, are relatively short (since lungs are close to the heart), and have lower bp
Systemic circulation
Blood draining into the left atrium of the heart and leaving the heart through the aorta to be distributed throughout the body
Left and right coronary arteries
Arteries that emerge from the ascending aorta to supply the heart wall
3 main arterial branches from the aortic arch
Brachiocephalic trunk
Left common carotid artery
Left subclavian artery
Brachiocephalic trunk
1 of the 3 main arterial branches from the aortic arch that bifurcates/divides into the right common carotid artery and the right subclavian artery
Right common carotid artery
Artery that supplies the right side of the head and neck
Right subclavian artery
Artery that branches off the brachicephalic trunk and supplies that right upper limb and some thoracic structures
Left common carotid artery
1 of the 3 main arterial branches from the aortic arch that supplies the left side of the head and neck
Left subclavian artery
1 of the 3 main arterial branches from the aortic arch that supplies the left upper limb and some thoracic structures
Once the aortic arch curves inferiorly, it becomes the
Descending thoracic aorta
Descending thoracic aorta
Part of the aorta that has several branches supplying the thoracic wall and viscera
As the descending thoracic aorta passes the diaphragm, its name becomes the
Descending abdominal aorta
Descending abdominal aorta
Part of the aorta that supplies the abdominal wall and organs
Once the descending abdominal aorta passes the 4th lumbar vertebra, it splits and becomes the
Left and right common iliac arteries
Left and right common iliac arteries
Arteries that each split into an internal and external iliac arteries
Internal iliac artery
Artery that supplies pelvic structures
External iliac artery
Artery that supplies the lower limb
3 general vessels for venous return to the heart
Superior vena cava
Inferior vena cava
Coronary sinus
Superior vena cava
Formed from the merge of left and right brachiocephalic veins, draining blood from the head, neck, upper limbs, thoracic and abdominal walls to the right atrium
Inferior vena cava
Formed from the merge of veins below the diaphragm, draining blood from the lower limbs, pelvis, perineum, and abdominal structures to the right atrium
Coronary sinus
Vessel that drains blood from the heart myocardium to the right atrium
Common carotid arteries
Supply most of the blood to the body, dividing into the external and internal carotid arteries
External carotid artery
Branching off of the common carotid artery, supplying structures external to the skull
Internal carotid artery
Branching off of the common carotid artery, supplying internal skull structures
Subclavian arteries
Divides into the vertebral artery, thyrocervical and costocervical trunks
Vertebral artery
Branching off the subclavian artery, supplying the brain
Thyrocervical trunk
Branching off the subclavian artery, supplying the thyroid gland, and parts of the neck and shoulder
Costocervical trunk
Branching off the subclavian artery, supplying the deep neck and the upper intercostals
Cerebral arterial circle (circle of Willis)
An important arterial anastomosis around the sella turcica, formed from the posterior cerebral, posterior communicating, internal carotid arteries, anterior cerebral, and anterior communicating arteries
Functions in equalizing blood pressure in the brain and provides collateral channels if one vessel becomes blocked
Vertebral vein
Vein that empties into the subclavian vein
External jugular vein
Vein that drains the superficial head and neck, and empties into the subclavian vein
Internal jugular vein
Vein that drains the cranial cavity, merging with the subclavian vein to form the brachiocephalic vein
Dural venous sinuses
Large modified veins between 2 layers of dura mater, which drain primarily into the internal jugular veins and also receive excess CSF
Internal thoracic artery
Artery that supplies the anterior thoracic wall and mammary gland, emerging from the subclavian artery and branches into 6 anterior intercostal arteries, the musculophrenic artery, and becomes the superior epigastric artery
Interior epigastric artery
Artery that branches off the external iliac artery and supplies that inferior abdominal wall, and anastomoses with the superior epigastric artery
Supreme intercostal artery
Artery that branches off the costocervical trunk, then branches into posterior intercostal arteries 1-2
Posterior intercostal arteries 3-11
Arteries that branch off the thoracic aorta
Lumbar arteries
5 pairs of arteries that branch off the abdominal aorta and supply the posterolateral abdominal wall
Median sacral artery
An unpaired artery that extended from the bifurcation of the aorta in the pelvis, supplying the sacrum and coccyx
Internal thoracic vein
Vein that receives blood from the anterior intercostal, musculophrenic, and superior epigastric veins; Drains into the brachiocephalic vein
Inferior epigastric vein
Vein that merges with the external iliac vein
1st and 2nd posterior intercostal veins
Veins that merge with the supreme intercostal vein and drains into the brachiocephalic vein
Azygos system
Vein that receive blood from the lumbar and posterior intercostal veins
Hemiazygos and accessory hemiazygos veins on the left side, azygos vein on the right side; Drain into the superior vena cava
Vessels of the lungs
Bronchial arteries → Branches off the descending thoracic aorta to supply bronchi and bronchioles
Bronchial veins → Drains into azygos and pulmonary veins
Vessels of the esophagus
Esophageal arteries → Several small branches off the descending thoracic aorta
Esophageal branches also emerge off the left gastric artery
Esophageal veins → Drain into azygos or left gastric vein
Vessels of the diaphragm
Superior phrenic arteries → Pair emerging from the descending thoracic aorta
Inferior phrenic arteries → Pair emerging from the descending abdominal aorta
Musculophrenic and pericardiacophrenic arteries → Branches off the internal thoracic artery
Superior and inferior phrenic veins → Drains into the inferior vena cava
Musculophrenic vein → Drains into the internal thoracic veins
Gastrointestinal tract
Arterial supply comes from the abdominal aorta, with 3 branches being the celiac trunk, superior mesenteric artery, and inferior mesenteric artery
Celiac trunk
Artery that branches from the abdominal aorta, having 3 branches: left gastric artery, splenic artery, and common hepatic artery
Located just inferior to the diaphragm
Common hepatic artery
Artery that branches from the celiac trunk, and branches off into the hepatic artery proper and the gastroduodenal artery
Left gastric artery
Artery that supplies part of the stomach and esophagus
Splenic artery
Artery that supplies the spleen, and part of the stomach and pancreas
Hepatic artery proper
Artery that branches off the common hepatic artery and supplies the liver, gallbladder, and part of the stomach
Gastroduodenal artery
Artery that branches off the common hepatic artery and supplies the duodenum, pancreas, and part of the stomach
Superior mesenteric artey
Artery that branches off the abdominal aorta and contains 4 arterial branches: intestinal, middle colic, right colic, and ileocolic arteries
Located just inferior to the celiac trunk
Intestinal arteries
Arteries that branch off the superior mesenteric artery and supplies the jejunum and ileum
Middle colic artery
Artery that branch off the superior mesenteric artery and supplies most of the transverse colon
Right colic artery
Artery that branch off the superior mesenteric artery and supplies the ascending colon
Ileocolic artery
Artery that branch off the superior mesenteric artery and supplies the ileum, cecum, and appendix
Inferior mesenteric artery
Artery that branches off the abdominal aorta and has 3 branches: left colic, sigmoid, and superior rectal arteries
Located just above the bifurcation of the aorta
Left colic artery
Artery that branch off the inferior mesenteric artery and supplies the distal transverse colon and the descending colon
Sigmoid arteries
Arteries that branch off the inferior mesenteric artery and supplies part of the descending colon and sigmoid colon
Superior rectal artery
Artery that branch off the inferior mesenteric artery and supplies the rectum