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PowerPoint ® Lecture Slides prepared by Janice Meeking, Mount Royal College C H A P T E R Copyright © 2010 Pearson Education, Inc. 19 The Cardiovascular System: Blood Vessels: Part C
Copyright © 2010 Pearson Education, Inc. Figure 19.21a R. external carotid artery R. internal carotid artery R. common carotid – right side of head and neck L. external carotid artery L. internal carotid artery L. common carotid – left side of head and neck R. vertebralL. vertebral R. axillary Arteries of R. upper limb Mediastinal – posterior media- stinum Esophageal – esophagus Pericardial – pericardium Bronchial – lungs and bronchi Gonadal – testes or ovaries Suprarenal – adrenal glands and Renal – kidneys Celiac trunk – liver – gallbladder – spleen – stomach – esophagus – duodenum Superior and inferior mesenterics – small intestine – colon Brachiocephalic – head, neck, and R. upper limb Posterior intercostals – intercostal muscles, spinal cord, vertebrae, pleurae, skin Inferior phrenics – inferior diaphragm Lumbars – posterior abdominal wall Median sacral – sacrum – coccyx Superior phrenics – posterior and superior diaphragm R. subclavian – neck and R. upper limb L. and R. coronary arteries L. subclavian – neck and L. upper limb L. ventricle of heart Thoracic aorta T 5 – T 12 (diaphragm) Abdominal aorta T 12 (diaphragm) – L 4 Ascending aorta – L. ventricle to sternal angle L. axillary R. common iliac – pelvis and R. lower limb Arteries of R. lower limb (a) Schematic flowchart L. common iliac – pelvis and L. lower limb Arteries of L. lower limb Arteries of L. upper limb Diaphragm Visceral branches Parietal branches Visceral branches Parietal branches Aortic arch
Copyright © 2010 Pearson Education, Inc. Figure 19.21b Internal carotid artery Common carotid arteries Subclavian artery Aortic arch Ascending aorta Coronary artery Thoracic aorta (above diaphragm) Renal artery Superficial palmar arch Radial artery Ulnar artery Internal iliac artery Deep palmar arch Vertebral artery Brachiocephalic trunk Axillary artery Brachial artery Abdominal aorta Superior mesenteric artery Gonadal artery Common iliac artery External iliac artery Digital arteries Femoral artery Popliteal artery Anterior tibial artery Posterior tibial artery Arcuate artery (b) Illustration, anterior view Inferior mesenteric artery Celiac trunk External carotid artery Arteries of the head and trunk Arteries that supply the upper limb Arteries that supply the lower limb
Copyright © 2010 Pearson Education, Inc. Figure 19.22a Brachiocephalic trunk Aortic arch (a) Schematic flowchart R. and L. anterior cerebral arteries Anterior communicating artery R. and L. posterior communicating arteries Basilar artery R. and L. common carotid arteries R. and L. subclavian arteries Superior thyroid artery Lingual artery Facial artery Occipital artery Maxillary artery Superficial temporal artery Ophthalmic artery R. middle cerebral artery R. posterior cerebral artery R. and L. vertebral arteries R. and L. internal arteries R. and L. external carotid arteries Cerebral arterial circle
Copyright © 2010 Pearson Education, Inc. Figure 19.22b Superficial temporal artery Maxillary artery Occipital artery Facial artery Lingual artery Superior thyroid artery Ophthalmic artery Larynx Thyroid gland (overlying trachea) Clavicle (cut) Brachiocephalic trunk Internal thoracic artery Basilar artery Vertebral artery Internal carotid artery Subclavian artery Axillary artery (b) Arteries of the head and neck, right aspect External carotid artery Common carotid artery Thyrocervical trunk Costocervical trunk Branches of the external carotid artery
Copyright © 2010 Pearson Education, Inc. Figure 19.22d Frontal lobe Optic chiasma Middle cerebral artery Internal carotid artery Mammillary body Temporal lobe Occipital lobe Cerebral arterial circle (circle of Willis) Posterior cerebral artery Basilar artery Vertebral artery Cerebellum Posterior communicating artery (d) Major arteries serving the brain (inferior view, right side of cerebellum and part of right temporal lobe removed) Pons Anterior cerebral artery Anterior communicating artery Posterior Anterior
Copyright © 2010 Pearson Education, Inc. Figure 19.23a Internal thoracic artery Lateral thoracic artery Anterior intercostal arteries Superficial palmar arch Metacarpal arteries Digital arteries Ulnar artery Common interosseus artery Radial artery Deep palmar arch Anastomosis Subscapular artery Descending thoracic aorta Posterior intercostal arteries Costocervical trunk Aortic arch Brachio- cephalic trunk L. subclavian artery L. vertebral artery L. common carotid artery (a) Schematic flowchart R. common carotid arteryR. vertebral artery Thyrocervical trunk Suprascapular artery R. subclavian artery Axillary artery Thoracoacromial artery (pectoral branch) Anterior and posterior circumflex humeral arteries Brachial artery Deep artery of arm
Copyright © 2010 Pearson Education, Inc. Figure 19.23b Vertebral artery Costocervical trunk Thoracoacromial artery Axillary artery Subscapular artery Radial artery Ulnar artery Brachial artery Suprascapular artery Thyrocervical trunk Posterior circumflex humeral artery Anterior circumflex humeral artery Deep artery of arm Common interosseous artery Deep palmar arch Superficial palmar arch Digital arteries Common carotid arteries Right subclavian artery Left subclavian artery Brachiocephalic trunk Posterior intercostal arteries Anterior intercostal artery Internal thoracic artery Lateral thoracic artery Descending aorta (b) Illustration, anterior view
Copyright © 2010 Pearson Education, Inc. Figure 19.24a (a) Schematic flowchart. Abdominal aorta Inferior phrenic arteries Celiac trunk Superior mesenteric artery Middle suprarenal arteries Renal arteries Inferior mesenteric artery Lumbar arteries Median sacral artery Superior rectal artery L. colic artery Sigmoidal arteries R. colic artery L. gastroepiploic artery R. gastroepiploic artery Ileocolic artery Intestinal arteries Common iliac arteries Gonadal arteries Gastro- duodenal artery Hepatic artery proper Common hepatic artery Splenic artery R. gastric artery L. gastric artery L Middle colic artery R Diaphragm
Copyright © 2010 Pearson Education, Inc. Figure 19.24b Liver (cut)Diaphragm Esophagus Left gastric artery Superior mesenteric Left gastroepiploic artery Spleen Stomach Pancreas (major portion lies posterior to stomach) Splenic artery Inferior vena cava Celiac trunk Hepatic artery proper Common hepatic artery Gastroduodenal artery Right gastric artery Gallbladder Abdominal aorta Right gastroepiploic artery Duodenum (b) The celiac trunk and its major branches. The left half of the liver has been removed.
Copyright © 2010 Pearson Education, Inc. Figure 19.24c (c) Major branches of the abdominal aorta. Hiatus (opening) for inferior vena cava Diaphragm Inferior phrenic artery Middle suprarenal artery Renal artery Superior mesenteric artery Median sacral artery Common iliac artery Ureter Gonadal (testicular or ovarian) artery Hiatus (opening) for esophagus Celiac trunk Adrenal (suprarenal) gland Kidney Abdominal aorta Lumbar arteries Inferior mesenteric artery
Copyright © 2010 Pearson Education, Inc. Figure 19.24d (d) Distribution of the superior and inferior mesenteric arteries. The transverse colon has been pulled superiorly. Celiac trunk Transverse colon Inferior mesenteric artery Aorta Descending colon Sigmoid colon Rectum Superior mesenteric artery Ascending colon Ileum Right common iliac artery Appendix Cecum Branches of the inferior mesenteric artery Left colic artery Sigmoidal arteries Superior rectal artery Branches of the superior mesenteric artery Middle colic artery Intestinal arteries Right colic artery Ileocolic artery
Copyright © 2010 Pearson Education, Inc. Figure 19.25a Inferior gluteal artery Internal pudendal Medial circumflex femoral artery Lateral circumflex femoral artery Internal iliac artery Obturator artery External iliac artery Deep artery of thigh Femoral artery Adductor hiatus Arterial anastomosis Anterior tibial artery Popliteal artery Fibular (peroneal) artery Lateral plantar artery Posterior tibial artery Dorsalis pedis artery Arcuate artery Lateral plantar artery Dorsal metatarsal arteries Plantar arch Medial plantar artery (a) Schematic flowchart Abdominal aorta Common iliac artery Plantar metatarsal arteries Superior gluteal artery
Copyright © 2010 Pearson Education, Inc. Figure 19.25b Common iliac artery Deep artery of thigh Obturator artery Femoral artery Adductor hiatus Popliteal artery Anterior tibial artery Posterior tibial artery Fibular artery Dorsalis pedis artery Arcuate artery Dorsal metatarsal arteries (b) Anterior view Internal iliac artery Superior gluteal artery External iliac artery Lateral circumflex femoral artery Medial circumflex femoral artery
Copyright © 2010 Pearson Education, Inc. Figure 19.25c (c) Posterior view Popliteal artery Anterior tibial artery Fibular artery Dorsalis pedis artery (from top of foot) Plantar arch Medial plantar artery Lateral plantar artery Posterior tibial artery
Copyright © 2010 Pearson Education, Inc. Figure 19.26a R. external jugular – superficial head and neck R. vertebral – cervical spinal cord and vertebrae R. brachiocephalic – R. side of head and R. upper limb Superior vena cava – runs from union of brachiocephalic veins behind manubrium to R. atrium Inferior vena cava – runs from junction of common iliac veins at L 5 to R. atrium of heart R. atrium of heart L. brachiocephalic – L. side of head and L. upper limb Intracranial dural venous sinuses R. internal jugular – dural venous sinuses of the brain R. subclavian – R. head, neck, and upper limb Same as R. brachiocephalic R. axillary Azygos system – drains much of thorax L., R., and middle hepatic veins – liver Veins of L. lower limb (a) Schematic flowchart L. and R. renal veins – kidneys Lumbar veins (several pairs) – posterior abdominal wall R. suprarenal (L. suprarenal drains into L. renal vein) – adrenal glands R. gonadal (L. gonadal drains into L. renal vein) – testis or ovary Veins of R. lower limb Veins of R. upper limb R. common iliac – pelvis and R. lower limb L. common iliac – pelvis and L. lower limb Diaphragm
Copyright © 2010 Pearson Education, Inc. Figure 19.26b Renal vein Splenic vein Basilic vein Brachial vein Cephalic vein Dural venous sinuses External jugular vein Vertebral vein Internal jugular vein Superior vena cava Right and left brachiocephalic veins Axillary vein Great cardiac vein Hepatic veins Hepatic portal vein Superior mesenteric vein Inferior vena cava Ulnar vein Radial vein Common iliac vein External iliac vein Internal iliac vein Digital veins Femoral vein Great saphenous vein Popliteal vein Posterior tibial vein Anterior tibial vein Small saphenous vein Dorsal venous arch (b) Illustration, anterior view. The vessels of the pulmonary circulation are not shown. Dorsal metatarsal veins Inferior mesenteric vein Median cubital vein Subclavian vein Veins of the head and trunk Veins that drain the upper limb Veins that drain the lower limb
Copyright © 2010 Pearson Education, Inc. Figure 19.27a (a) Schematic flowchart Superior sagittal sinus Inferior sagittal sinus Superficial temporal vein Ophthalmic vein Facial vein Cavernous sinus Straight sinus Transverse sinus Occipital vein Posterior auricular vein Sigmoid sinus External jugular vein Vertebral vein Subclavian vein Superior vena cava Brachiocephalic veins Middle thyroid vein Superior thyroid vein Internal jugular vein
Copyright © 2010 Pearson Education, Inc. Figure 19.27b (b) Veins of the head and neck, right superficial aspect Vertebral vein Ophthalmic vein External jugular vein Superficial temporal vein Facial vein Occipital vein Posterior auricular vein Internal jugular vein Superior and middle thyroid veins Brachiocephalic vein Subclavian vein Superior vena cava
Copyright © 2010 Pearson Education, Inc. Figure 19.27c (c) Dural venous sinuses of the brain Confluence of sinuses Superior sagittal sinus Falx cerebri Inferior sagittal sinus Straight sinus Cavernous sinus Transverse sinuses Sigmoid sinus Jugular foramen Right internal jugular vein
Copyright © 2010 Pearson Education, Inc. Figure 19.28a Axillary vein Subclavian vein External jugular vein Internal jugular vein Brachiocephalic veins Superior vena cava Accessory hemiazygos vein Brachial vein Median cubital vein Hemiazygos vein Right and left posterior intercostal veins Azygos vein Ulnar vein Radial vein Deep palmar venous arch Metacarpal veins Superficial palmar venous arch Digital veins Basilic vein Cephalic vein Median antebrachial vein (a) Schematic flowchart
Copyright © 2010 Pearson Education, Inc. Figure 19.28b Right subclavian vein Brachiocephalic veins Axillary vein Brachial vein Cephalic vein Basilic vein Median cubital vein Median antebrachial vein Basilic vein Internal jugular vein External jugular vein Left subclavian vein Superior vena cava Azygos vein Inferior vena cava Ascending lumbar vein Accessory hemiazygos vein Hemiazygos vein Posterior intercostals Ulnar vein Deep palmar venous arch Superficial palmar venous arch Digital veins Cephalic vein Radial vein (b) Anterior view
Copyright © 2010 Pearson Education, Inc. Figure 19.29a Inferior vena cava Inferior phrenic veins Hepatic veins Hepatic portal vein Superior mesenteric vein Splenic vein Inferior mesenteric vein L. ascending lumbar vein R. ascending lumbar vein Gonadal veins Renal veins Suprarenal veins Lumbar veins Hepatic portal system Cystic vein External iliac vein Internal iliac veins Common iliac veins (a) Schematic flowchart.
Copyright © 2010 Pearson Education, Inc. Figure 19.29b (b) Tributaries of the inferior vena cava. Venous drainage of abdominal organs not drained by the hepatic portal vein. Hepatic veins Inferior phrenic vein Left suprarenal vein Left ascending lumbar vein Lumbar veins Left gonadal vein Common iliac vein Internal iliac vein Renal veins Inferior vena cava Right suprarenal vein Right gonadal vein External iliac vein
Copyright © 2010 Pearson Education, Inc. Figure 19.29c (c) The hepatic portal circulation. Hepatic veins Liver Spleen Gastric veins Inferior vena cava (not part of hepatic portal system) Splenic vein Right gastroepiploic vein Inferior mesenteric vein Superior mesenteric vein Large intestine Hepatic portal vein Small intestine Rectum
Copyright © 2010 Pearson Education, Inc. Figure 19.30a Small saphenous vein Fibular (peroneal) vein Dorsal venous arch Dorsal metatarsal veins (a) Schematic flowchart of the anterior and posterior veins AnteriorPosterior Inferior vena cava Femoral vein External iliac vein Femoral vein Small saphenous vein Fibular (peroneal) vein Plantar veins Deep plantar arch Digital veins Great saphenous vein Popliteal vein Anterior tibial vein Posterior tibial vein Dorsalis pedis vein Common iliac vein Internal iliac vein
Copyright © 2010 Pearson Education, Inc. Figure 19.30b Popliteal vein Common iliac vein Fibular vein Anterior tibial vein Dorsalis pedis vein Dorsal venous arch Dorsal metatarsal veins (b) Anterior view Internal iliac vein External iliac vein Inguinal ligament Femoral vein Great saphenous vein (superficial) Small saphenous vein
Copyright © 2010 Pearson Education, Inc. Figure 19.30c (c) Posterior view Great saphenous vein Popliteal vein Anterior tibial vein Fibular vein Small saphenous vein (superficial) Posterior tibial vein Plantar veins Deep plantar arch Digital veins
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