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Blood Vessels Part 3 Slides by Barbara Heard and W. Rose. figures from Marieb & Hoehn 9 th eds. Portions copyright Pearson Education

Blood Vessels Part 3 Slides by Barbara Heard and W. Rose. figures from Marieb & Hoehn 9 th eds. Portions copyright Pearson Education

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Blood VesselsPart 3

Slides by Barbara Heard and W. Rose.

figures from Marieb & Hoehn 9th eds.

Portions copyright Pearson Education

© 2013 Pearson Education, Inc.

Figure 19.21a Major arteries of the systemic circulation.

R. externalcarotid artery

R. internalcarotid artery

L. externalcarotid artery

L. internalcarotid artery

R. vertebralR. common carotid– right side of head and neck

L. common carotid – left side of head and neck

L. vertebral

R. axillary R. subclavian– neck and R. upper limb

Brachiocephalic– head, neck, and R. upper limb Aortic arch

L. subclavian– neck and L. upper limb

L. axillary

Arteries ofL. upperlimb

Ascending aorta– L. ventricle to sternal angle

Thoracic aorta T5–T12 (diaphragm)L. and R. coronaryarteries

Arteries ofR. upperlimb

L. ventricle of heart

Visceral branches Parietal branches

Mediastinal– posterior media- stinum

Esophageal– esophagus

Bronchial– lungs and bronchi

Pericardial– pericardium

Posterior intercostals– intercostal muscles, spinal cord, vertebrae, pleurae, skin

Superior phrenics– posterior and superior diaphragm

Diaphragm

Abdominal aorta T12 (diaphragm)–L4

Visceral branches Parietal branches

Gonadal– testes or ovaries

Suprarenal– adrenal glands andRenal– kidneys

Superiorand inferiormesenterics– small intestine– colon

Celiac trunk– liver– gallbladder– spleen– stomach– esophagus– duodenum

Inferior phrenics– inferior diaphragm

Lumbars– posterior abdominal wall

Median sacral– sacrum– coccyx

R. common iliac– pelvis and R. lower limb

L. common iliac– pelvis and L. lower limb

Arteries of R. lower limb Arteries of L. lower limb

Schematic flowchart

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Figure 19.21b Major arteries of the systemic circulation.

Arteries of the head and trunkInternal carotid artery

External carotid artery

Common carotid arteriesVertebral arterySubclavian artery

Brachiocephalic trunk

Aortic arch

Ascending aorta

Coronary arteryCeliac trunk

Abdominal aorta

Superior mesentericartery

Renal artery

Gonadal artery

Inferior mesenteric artery

Common iliac artery

Internal iliac artery

Illustration, anterior view

Arteries that supply the upper limb

Subclavian artery

Axillary artery

Brachial artery

Radial artery

Ulnar artery

Deep palmar arch

Superficial palmar archDigital arteries

Arteries that supply the lowerlimb

External iliac artery

Femoral artery

Popliteal artery

Anterior tibial artery

Posterior tibial artery

Arcuate artery

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Figure 19.22a Arteries of the head, neck, and brain.

R. and L. anteriorcerebral arteries

R. posteriorcerebralartery

BasilararterySuperficial

temporalartery

R. Middlecerebralartery

Anteriorcommunicat-

ing artery

Cerebral arterial circle

R. and L.Posterior

communicat-ing arteries

Ophthal-mic artery

R. and L.vertebralarteries

Maxillaryartery

Occipitalartery

Facialartery

R. and L.internalcarotidarteries

Lingualartery

Superiorthyroidartery

R. and L.externalcarotidarteries

R. and L.commoncarotidarteries

R. and L.subclavianarteries

Brachiocephalic trunk

Aortic arch

Schematic flowchart

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Figure 19.22b Arteries of the head, neck, and brain.

• Maxillary artery

• Occipital artery• Facial artery

• Lingual artery

• Superficial temporal artery

Branches of the external carotid artery

• Superior thyroid artery

Larynx

Thyroid gland(overlying trachea)

Clavicle (cut)

Brachiocephalic trunk

Internal thoracic artery

Ophthalmic artery

Basilar artery

Vertebralartery

Internal carotid artery

External carotid artery

Commoncarotid arteryThyrocervical trunk

Costocervical trunk

Subclavian artery

Axillary artery

Arteries of the head and neck, right aspect

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Colorized arteriograph of the arterial supplyof the brain

Figure 19.22c Arteries of the head, neck, and brain.

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Figure 19.22d Arteries of the head, neck, and brain.

Cerebral arterialcircle (circle of Willis)

• Anterior communicating artery

• Posterior communicating artery

• Posterior cerebral artery

Cerebellum

Basilar artery

Vertebral artery

Posterior

Major arteries serving the brain (inferior view, right side of cerebellum and part of right temporal lobe removed)

Frontal lobe

Optic chiasma

Middle cerebral artery

Internal carotid artery

Mammillarybody

Temporal lobe

Pons

Occipital lobe

Anterior

• Anterior cerebral artery

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Figure 19.23a Arteries of the right upper limb and thorax.R. commoncarotidartery

L. common carotid arteryR. vertebral artery

L. vertebral arteryThyrocervical trunk

L. subclavian artery

Suprascapular artery

R. subclavian artery.

Axillary artery

Thoracoacromialartery

Thoracoacromialartery (pectoralbranch)

Anterior and posteriorcircumflexhumeralarteries

Aortic arch

Brachiocephalic trunk

Internalthoracicartery

Anteriorintercostalarteries

Brachialartery

Deepartery of arm

Lateral thoracicartery

Subscapularartery

Anastomosis

Commoninterosseusartery

Thoracicaorta

Posteriorintercostalarteries

Costocervical trunk

Radialartery

Ulnar artery

Deep palmar arch Metacarpal arteries

Superficial palmar arch

Digital arteries

Schematic flowchart

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Figure 19.23b Arteries of the right upper limb and thorax.

Common carotid arteries

Right subclavian artery

Left subclavian artery

Brachiocephalic trunk

Posteriorintercostal arteries

Anterior intercostal artery

Internal thoracic artery

Lateral thoracic artery

Thoracic aorta

Deep palmar archSuperficial palmar archDigital arteries

Ulnar arteryRadial artery

Commoninterosseous artery

Deep artery of armBrachial artery

Anterior circumflexhumeral artery

Posterior circumflexhumeral artery

Subscapular arteryAxillary arteryThoracoacromial artery

Costocervical trunkThyrocervical trunkVertebral artery

Suprascapular artery

Illustration, anterior view

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Figure 19.24a Arteries of the abdomen.

Diaphragm

Abdominalaorta

Inferiorphrenicarteries

Celiactrunk

Middlesuprarenalarteries

Superiormesentericartery

Renalarteries

Inferiormesentericartery

Gonadalarteries

Lumbararteries

Schematic flowchart.

L. gastric artery

Commonhepaticartery

Splenicartery

L. gastroepiploic artery

Intestinal arteries

Middle colicartery

R. colicartery

Ileocolic artery

Sigmoidalarteries

L. colicartery

Superior rectalartery

Median sacral artery

Common iliac arteries

R. gastricartery

Hepaticarteryproper

Gastro-duodenalartery

R. gastroepiploicartery

L

R

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Figure 19.24b Arteries of the abdomen.

Liver (cut)

Inferior vena cava

Celiac trunkCommon hepatic arteryHepatic artery properGastroduodenal arteryRight gastric artery

GallbladderPancreas(major portion liesposterior to stomach)

Duodenum

Abdominal aorta

Diaphragm

Esophagus

Left gastric artery

Stomach

Left gastroepiploicartery

Spleen

Right gastroepiploicartery

Superior mesentericartery

The celiac trunk and its major branches. The left half of the liver has been removed.

Splenic artery

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Figure 19.24c Arteries of the abdomen.

Hiatus (opening)for inferior vena cava

Hiatus (opening)for esophagus

Adrenal (suprarenal) gland

Celiac trunk

Kidney

Abdominal aorta

Lumbar arteries

UreterMedian sacral artery

Diaphragm

Inferior phrenic artery

Middle suprarenal artery

Renal artery

Superior mesenteric artery

Gonadal (testicularor ovarian) arteryInferior mesenteric artery

Common iliac artery

Major branches of the abdominal aorta.

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Figure 19.24d Arteries of the abdomen.

Celiac trunk

Superior mesentericartery

Branches ofthe superiormesenteric artery

• Middle colic artery

• Intestinal arteries

• Right colic artery• Ileocolic artery

Ascending colon

Right common iliacartery

Ileum

Cecum

Appendix

Transverse colon

Aorta

Inferior mesenteric artery

Branches ofthe inferiormesenteric artery

• Left colic artery

• Sigmoidal arteries

• Superior rectal artery

Descending colon

Sigmoid colonRectum

Distribution of the superior and inferior mesenteric arteries.The transverse colon has been pulled superiorly.

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Figure 19.25a Arteries of the right pelvis and lower limb.Abdominalaorta

Superiorglutealartery

Internaliliacartery

Commoniliacartery

Obturatorartery

Externaliliacartery

Femoralartery

Adductorhiatus

Poplitealartery

Posterior tibialartery

Fibular(peroneal)artery

Lateralplantarartery

Medialplantarartery

Plantar arch

Plantarmetatarsalarteries

Dorsal metatarsal arteries

Arcuateartery

Lateralplantarartery

Dorsalispedisartery

Anteriortibialartery

Arterial anastomosis

Lateralcircumflexfemoralartery

Medialcircumflexfemoralartery

Internalpudendal

Inferiorglutealartery

Deep arteryof thigh

Schematic flowchart

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Figure 19.25b Arteries of the right pelvis and lower limb.

Common iliac artery

Internal iliac artery

Superior gluteal artery

External iliac artery

Deep artery of thighLateral circumflexfemoral artery

Medial circumflexfemoral artery

Obturator artery

Femoral artery

Adductor hiatus

Popliteal artery

Anterior tibial arteryPosterior tibial artery

Fibular artery

Dorsalis pedis arteryArcuate arteryDorsal metatarsalarteries

Anterior view

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Figure 19.25c Arteries of the right pelvis and lower limb.

Popliteal artery

Anterior tibial artery

Fibular artery

Dorsalis pedisartery (from topof foot)

Plantar arch

Posterior tibial artery

Lateral plantar artery

Medial plantar artery

Posterior view

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Figure 19.26a Major veins of the systemic circulation.

Veins ofR. upperlimb

R. externaljugular– superficial head and neck

R. vertebral– cervical spinal cord and vertebrae

Intracranialdural venous sinuses

R. axillary

R. subclavian– R. head, neck, and upper limb

R. internal jugular– dural venous sinuses of the brain

R. brachiocephalic– R. side of head and R. upper limb

Same as R. brachiocephalic

L. brachiocephalic– L. side of head and L. upper limb

Superior vena cava– runs from union of brachiocephalic veins behind manubrium to R. atrium

Azygos system– drains much of thorax

R. atrium of heart

Diaphragm

Inferior vena cava– runs from junction of common iliac veins at L5 to R. atrium of heart

L., R., and middle hepatic veins– liver

L. and R. renal veins– kidneys

Lumbar veins(several pairs)– posterior abdominal wall

L. common iliac– pelvis and L. lower limb

Veins ofL. lower limb

Veins ofR. lower limb

R. common iliac– pelvis and R. lower limb

R. gonadal(L. gonadal drainsinto L. renal vein)– testis or ovary

R. suprarenal(L. suprarenal drainsinto L. renal vein)– adrenal glands

Schematic flowchart.

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Figure 19.26b Major veins of the systemic circulation.

Veins of the head and trunkDural venous sinusesExternal jugular veinVertebral veinInternal jugular veinRight and leftbrachiocephalic veinsSuperior vena cavaGreat cardiac veinHepatic veinsSplenic veinHepatic portal veinRenal veinSuperior mesenteric veinInferior mesenteric veinInferior vena cavaCommon iliac veinInternal iliac vein

Veins that drainthe upper limbSubclavian veinAxillary veinCephalic veinBrachial veinBasilic vein

Median cubital veinUlnar veinRadial vein

Digital veins

Veins that drainthe lower limb

External iliac veinFemoral veinGreat saphenous veinPopliteal vein

Posterior tibial veinAnterior tibial veinSmall saphenous vein

Dorsal venous archDorsal metatarsal veins

Illustration, anterior view. The vessels of the pulmonary circulation are not shown. 

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Figure 19.27a Venous drainage of the head, neck, and brain.

Superior sagittal sinus

Inferior sagit-tal sinus Superficial

temporal vein

Occipitalvein

Straightsinus

Transversesinus

Ophthalmicvein

Cavernoussinus Facial vein

Posterior auricularvein

Sigmoid sinus

External jugularvein

Vertebral vein

Subclavian vein

Internal jugular vein

Superior thyroid vein

Middle thyroid vein

Brachiocephalic veins

Superior vena cava

Schematic flowchart

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Figure 19.27b Venous drainage of the head, neck, and brain.

Ophthalmic vein

Superficial temporal vein

Facial vein

Occipital vein

Posteriorauricular vein

Externaljugular vein

Vertebral vein

Internaljugular vein

Superior and middle thyroid veins

Brachiocephalicvein

Subclavian vein

Superiorvena cava

Veins of the head and neck, right superficial aspect

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Figure 19.27c Venous drainage of the head, neck, and brain.

Superior sagittal sinus

Falx cerebri

Inferior sagittal sinus

Straight sinus

Cavernous sinus

Transverse sinuses

Sigmoid sinus

Jugular foramen

Right internal jugular vein

Dural venous sinuses of the brain

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Figure 19.28a Veins of the thorax and right upper limb.Subclavianvein

Internaljugular vein

Externaljugular vein

BrachiocephalicveinsAxillary

vein

Superiorvena cava

Accessoryhemiazygosvein

Mediancubitalvein

Brachialvein

Azygosvein

Hemiazygosvein

Right and left posteriorintercostal veins

Cephalicvein

Medianantebrachialvein

Basilicvein

Radialvein

Ulnarvein

Deep venous palmar arch

Metacarpal veins

Superficial venous palmar arch

Digital veins

Schematic flowchart

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Figure 19.28b Veins of the thorax and right upper limb.Brachiocephalic veinsRight subclavian vein

Axillary veinBrachial veinCephalic veinBasilic vein

Median cubitalvein

Median antebrachial veinCephalic vein

Radial vein

Basilic vein

Ulnar vein

Deep venous palmar arch

Superficial venous palmar arch

Digital veinsAnterior view

Internal jugular veinExternal jugular vein

Left subclavian vein

Superior vena cavaAzygos veinAccessory hemiazygosveinHemiazygos vein

Posterior intercostals

Inferior vena cavaAscending lumbar vein

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Figure 19.29a Veins of the abdomen.Inferior vena cava

Inferior phrenic veins

Hepatic veins

Hepatic portal vein

Superior mesenteric vein

Splenic vein

Inferiormesentericvein

L. ascendinglumbar vein

External iliac vein

Internal iliac veins

Common iliac veins

R. ascendinglumbar vein

Lumbar veins

Gonadal veins

Renal veins

Suprarenal veins

Hepaticportalsystem

Cystic vein

Schematic flowchart.

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Figure 19.29b Veins of the abdomen.

Hepatic veins

Inferior vena cava

Right suprarenalvein

Right gonadalvein

External iliacvein

Inferior phrenicvein

Left suprarenalvein

Renal veins

Left ascendinglumbar vein

Lumbar veins

Left gonadalvein

Common iliacvein

Internal iliacvein

Tributaries of the inferior vena cava.Venous drainage of abdominal organs not drained by the hepatic portal vein.

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Figure 19.29c Veins of the abdomen.

Hepatic veins

Liver

Hepatic portalvein

Small intestine

Rectum

Gastric veins

Spleen

Inferior vena cava

Splenic vein

Rightgastroepiploic veinInferiormesenteric vein

Superiormesenteric vein

Large intestine

The hepatic portal circulation.

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Figure 19.30a Veins of the right lower limb.Internaliliacvein

Femoralvein

Smallsaphenousvein

Fibular(peroneal)vein

Dorsalvenousarch

Dorsalmetatarsalveins

Inferiorvena cava

Common iliac vein

External iliac vein

Greatsaphenous

vein

Poplitealvein

Anteriortibialvein

Posteriortibialvein

Dorsalispedisvein

Femoralvein

Smallsaphenousvein

Fibular(peroneal)vein

Plantarveins

Deepplantar arch

Digitalveins

Anterior Posterior

Schematic flowchart of the anterior and posterior veins

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Figure 19.30b Veins of the right lower limb.

Common iliac veinInternal iliac veinExternal iliac vein

Inguinal ligament

Femoral vein

Great saphenousvein (superficial)

Popliteal vein

Smallsaphenous vein

Fibular vein

Anteriortibial veinDorsalispedis veinDorsalvenous arch

Dorsalmetatarsal veins

Anterior view

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Figure 19.30c Veins of the right lower limb.

Greatsaphenousvein

Poplitealvein

Anteriortibial veinFibularvein

Smallsaphenousvein(superficial)

Posteriortibial vein

PlantarveinsDeepplantar arch

Digital veins

Posterior view