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ARTERY 1.General Description 2.Blood Vessels of Pulmonary Circulation 3. Arteries of Systemic Circulation Guo Ling, MD,PhD Department of Anatiomy General Description 1.Organ-Extrinsic Distribution Patterns of Artery 1) A main A-trunk lies in a certain part of body 2) Part: marking the start and the end of an artery 3) Branches (1st ,2nd, 3rd… in grade, from a large D to a small D) Parietal and visceral branches exist in the trunk. 4) Symmetrical or bilateral arrangements 5) Accompanied with V and N The purpose is to better understand the name, main branches and specific supply targets of an artery. 2. Organ-Intrinsic Distribution Patterns of the Artery Radiated distribution Transversal distribution Longitudinal distribution Hilum Entry Point entry 3. Patterns of Anastomoses of Arteries Some parts of the body build up arterial anastomoses to ensure constant blood supply to the specific areas or organs because these regions or organs often change their shape or are pressed & their blood flow is affected. Communicating branches Arterial arch Network Arteriovenous anastomoses 4. Collateral Circulation Trunk of artery Collateral branches Composition of Pulmonary Circulation 1) Pulmonary trunk ,left and right pulmonary arteries contain venous blood. 2) Pulmonary veins (4 in number) contain arterial blood. 3) Arterial ligament ( ductus arteriosus) (position ,clinic significance,CHD) Arteries of Systemic Circulation Aorta Division Ascending aorta Aortic arch Descending aorta Thoracic aorta Abdominal aorta branches of the aorta 1. Branches of Ascending Aorta Left \ Right coronary arteries 2. Branches of Aortic Arch (three branches, R→L ) 1) Brachiocephalic trunk 2) Left common carotid 3) Left subclavian artery Brachocephalic trunk R. common carotid R. subclavian artery Common Carotid Branches ( Internal carotid brain ,visual organ. no branches outside the skull) External carotid ①Superior thyroid A ②Lingual A ③ Facial A ④Occipital A ⑤Maxillary A Middle meningeal A ⑥Superficial temporal A Carotid Sinus situated in the proximal part of internal carotid pressure-receptor Carotid Body situated behind the ramification of common carotid chemoreceptor Branches of Subclavian Artery ①Vertebral A ②Internal thoracic A ③Thyrocervical trunk ④Costocervical trunk Axillary A Subclavian artery ↓ Axillary A Brachial A Radial A , Ulnar A Superficial and Deep palmar arches Subclavian A is the main trunk of the upper limb. Superficial palmar arch Deep palmar arch Proper palmar digital A The use of brachial A in measuring blood pressure Summary ● Left common carotid originates from aortic arch. Right common carotid arises from brachiocephalic trunk. ● Brachiocephalic trunk gives off branches behind the right sternoclavicular joint. ● Common carotid gives off its branches opposite the upper border of thyroid cartilage. Artery Supplies for Some Organs 1. Thyroid Superior thyroid A Inferior thyroid A 2. Brain 1) Internal carotid A 2) Vertebral A 3. Branches of Thoracic Aorta Parietal branches ① 3th -11th of posterior Intercostal As ② Subcostal A Visceral branches ① Bronchial A ② Esophageal A 4. Branches of Abdominal Aorta Two kinds of affiliated branches: parietal branches visceral branches 1) Parietal branches / Inferior phrenic A / Lumbar A (4 pairs in number) / Median sacral A 2) Visceral branches of abdominal aorta paired ①Renal A ②Testicular A (ovarian A) ③Middle suprarenal A unpaired ①Celiac trunk ②Superior mesenteric A ③Inferior mesenteric A Variations of Renal Arteries ① Outline of Celiac Trunk Left gastric A Common hepatic A Splenic A supplying liver, gallbladder, stomach, a part of duodenum, spleen and pancreas, etc. Branches of Celiac Trunk a. Left gastric A left hepatic A right gastric A b. Common hepatic A proper hepatic A right hepatic A-cystic A gastroduodenal A pancreaticoduodenal A right gastroepiploic A pancreatic branches c. Splenic A left gastroepiploic A short gastric A , back gastric A(60—80%) ② Branches of Superior Mesenteric A a.Jejunal A ARCH b.Ileal A c.Ilecolic A Appendicular A d. Right colic A e. Middle colic A Supplying digestive tract from duodenum to the left colic flexure ③ Branches of Inferior Mesenteric A a.Left colic A b.Sigmoid A c.Superior rectal A Supplying digestive tract from left colic flexure to the rectum. 5. Arteries of Pelvis and Lower Limb Abdominal aorta L.common iliac A R. common iliac A Common iliac artery Internal iliac A External iliac A (1) Branches of Internal Iliac Artery 1)Parietal branches a. Obturator A b. Superior gluteal A 2) 3) c .Inferior gluteal A Supplying the wall of pelvis 1) 2)Viscera branches a. Umbilical A b. Superior vesical A c. Uterine A d. Inferior rectal A e. Pudendal internal A Supplying the viscera in pelvis. ③ ④ ⑤ ② ① (2) External Iliac Artery Femoral Arteries ↓ Popliteal Artery ↓ ↓ ↓ Medial , lateral plantar arteries ↓ Plantar arch Blood vessles for some organs ▲ Blood vessels of lungs: two sets Pulmonary A & V (functional vessel ) Bronchial A & V (nutrient vessels) ▲ Arteries of stomach ⑥ ⑤ ①Left gastric A ②Right gastric A ③Right gastroepiploic A ④Left gastroepiploic A ⑤Short gastric A ⑥Back gastric A ② ③ ① ④ ▲ Arteries of colon 1.Ileocolic A 2.Right colic A 3.Middle colic A 4.Left colic A 5.Sigmoid colic A Marginal A(concept) along the medial margin of the colon ▲ Arteries of rectum 1.Superior rectal A 2.Inferior rectal A 3.Anal A Clinical application: taking the pulse on the radial A A convenient way for checking the functions of heart &artery: As drawn in the picture, please feel the beatings of the arteries in some spots of your body .