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