Transcript Document
Figure 19.21a Major arteries of the systemic circulation. R. internal carotid artery R. external carotid artery R. common carotid – right side of head and neck R. vertebral R. axillary R. subclavian – neck and R. upper limb Brachiocephalic – head, neck, and R. upper limb Arteries of R. upper limb L. external carotid artery L. internal carotid artery L. common carotid – left side of head and neck L. vertebral L. subclavian – neck and L. upper limb Aortic arch L. axillary Arteries of L. upper limb Ascending aorta – L. ventricle to sternal angle Thoracic aorta T5–T12 (diaphragm) L. and R. coronary arteries L. ventricle of heart Visceral branches Mediastinal – posterior mediastinum Esophageal – esophagus Bronchial – lungs and bronchi Parietal branches 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 Gonadal – testes or ovaries Suprarenal – adrenal glands and Renal – kidneys Superior and inferior mesenterics – small intestine – colon Parietal branches Celiac trunk – liver – gallbladder – spleen – stomach – esophagus – duodenum R. common iliac – pelvis and R. lower limb Arteries of R. lower limb Schematic flowchart © 2013 Pearson Education, Inc. Inferior phrenics – inferior diaphragm Lumbars – posterior abdominal wall Median sacral – sacrum – coccyx L. common iliac – pelvis and L. lower limb Arteries of L. lower limb Figure 19.21b Major arteries of the systemic circulation. Arteries of the head and trunk Internal carotid artery External carotid artery Common carotid arteries Brachiocephalic trunk Vertebral artery Subclavian artery Arteries that supply the upper limb Subclavian artery Axillary artery Brachial artery Aortic arch Ascending aorta Coronary artery Celiac trunk Abdominal aorta Superior mesenteric artery Renal artery Gonadal artery Radial artery Ulnar artery Deep palmar arch Superficial palmar arch Digital arteries Arteries that supply the lower limb External iliac artery Inferior mesenteric artery Femoral artery Common iliac artery Popliteal artery Internal iliac artery Anterior tibial artery Posterior tibial artery Illustration, anterior view © 2013 Pearson Education, Inc. Arcuate artery Figure 19.22a Arteries of the head, neck, and brain. R. and L. anterior cerebral arteries R. Middle cerebral artery Anterior communicating artery Cerebral arterial circle R. and L. Posterior communicating arteries Ophthalmic artery Superficial temporal artery R. posterior cerebral artery Basilar artery R. and L. vertebral arteries Maxillary artery Occipital artery R. and L. internal carotid arteries Facial artery Lingual artery R. and L. external carotid arteries Superior thyroid artery R. and L. common carotid arteries R. and L. subclavian arteries Brachiocephalic trunk Aortic arch © 2013 Pearson Education, Inc. Schematic flowchart Figure 19.22b Arteries of the head, neck, and brain. Ophthalmic artery Basilar artery Vertebral artery Internal carotid artery External carotid artery Common carotid artery Thyrocervical trunk Costocervical trunk Subclavian artery Axillary artery Arteries of the head and neck, right aspect © 2013 Pearson Education, Inc. Branches of the external carotid artery • Superficial temporal artery • Maxillary artery • Occipital artery • Facial artery • Lingual artery • Superior thyroid artery Larynx Thyroid gland (overlying trachea) Clavicle (cut) Brachiocephalic trunk Internal thoracic artery Figure 19.22c Arteries of the head, neck, and brain. © 2013 Pearson Education, Inc. Colorized arteriograph of the arterial supply of the brain Figure 19.22d Arteries of the head, neck, and brain. Anterior Cerebral arterial circle (circle of Willis) Frontal lobe Optic chiasma • Anterior communicating artery Middle cerebral artery • Anterior cerebral artery Internal carotid artery • Posterior communicating artery Mammillary body • Posterior cerebral artery Basilar artery Temporal lobe Vertebral artery Pons Occipital lobe Cerebellum Posterior Major arteries serving the brain (inferior view, right side of cerebellum and part of right temporal lobe removed) © 2013 Pearson Education, Inc. Figure 19.23a Arteries of the right upper limb and thorax. R. vertebral artery R. common carotid artery L. common carotid artery Thyrocervical trunk L. vertebral artery L. subclavian artery Suprascapular artery R. subclavian artery. Axillary artery Thoracoacromial artery Thoracoacromial artery (pectoral branch) Aortic arch Anterior and posterior circumflex humeral arteries Brachial artery Deep artery of arm Brachiocephalic trunk Internal thoracic artery Anterior intercostal arteries Lateral thoracic artery Subscapular artery Anastomosis Common interosseus artery Radial artery Deep palmar arch Ulnar artery Metacarpal arteries Superficial palmar arch Digital arteries © 2013 Pearson Education, Inc. Schematic flowchart Costocervical trunk Thoracic aorta Posterior intercostal arteries Figure 19.23b Arteries of the right upper limb and thorax. Vertebral artery Thyrocervical trunk Costocervical trunk Suprascapular artery Thoracoacromial artery Axillary artery Subscapular artery Posterior circumflex humeral artery Anterior circumflex humeral artery Common carotid arteries Right subclavian artery Left subclavian artery Brachiocephalic trunk Posterior intercostal arteries Anterior intercostal artery Internal thoracic artery Brachial artery Deep artery of arm Lateral thoracic artery Thoracic aorta Common interosseous artery Radial artery Ulnar artery Deep palmar arch Superficial palmar arch Digital arteries Illustration, anterior view © 2013 Pearson Education, Inc. Figure 19.24a Arteries of the abdomen. Diaphragm Abdominal aorta Inferior phrenic arteries L. gastric artery R. gastric artery Common hepatic artery Hepatic artery proper L Splenic artery Gastroduodenal artery R Celiac trunk R. gastroepiploic artery Middle suprarenal arteries L. gastroepiploic artery Intestinal arteries Middle colic artery Superior mesenteric artery R. colic artery Renal arteries Gonadal arteries Ileocolic artery Sigmoidal arteries Inferior mesenteric artery Lumbar arteries L. colic artery Superior rectal artery Median sacral artery Common iliac arteries Schematic flowchart. © 2013 Pearson Education, Inc. Figure 19.24b Arteries of the abdomen. Liver (cut) Inferior vena cava Celiac trunk Common hepatic artery Hepatic artery proper Gastroduodenal artery Right gastric artery Diaphragm Esophagus Left gastric artery Stomach Splenic artery Left gastroepiploic artery Spleen Gallbladder Pancreas (major portion lies posterior to stomach) Right gastroepiploic artery Duodenum Abdominal aorta Superior mesenteric artery The celiac trunk and its major branches. The left half of the liver has been removed. © 2013 Pearson Education, Inc. Figure 19.24c Arteries of the abdomen. Hiatus (opening) for inferior vena cava Hiatus (opening) for esophagus Diaphragm Inferior phrenic artery Adrenal (suprarenal) gland Middle suprarenal artery Celiac trunk Renal artery Kidney Superior mesenteric artery Abdominal aorta Lumbar arteries Ureter Median sacral artery Major branches of the abdominal aorta. © 2013 Pearson Education, Inc. Gonadal (testicular or ovarian) artery Inferior mesenteric artery Common iliac artery Figure 19.24d Arteries of the abdomen. Celiac trunk Superior mesenteric artery Branches of the superior mesenteric artery • Middle colic artery • Intestinal arteries • Right colic artery • Ileocolic artery Ascending colon Right common iliac artery Ileum Transverse colon Aorta Inferior mesenteric artery Branches of the inferior mesenteric artery • Left colic artery • Sigmoidal arteries • Superior rectal artery Descending colon Cecum Appendix Distribution of the superior and inferior mesenteric arteries. The transverse colon has been pulled superiorly. © 2013 Pearson Education, Inc. Sigmoid colon Rectum Figure 19.25a Arteries of the right pelvis and lower limb. Abdominal aorta Superior gluteal artery Internal iliac artery Inferior gluteal artery Internal pudendal Common iliac artery Obturator artery Deep artery of thigh Medial circumflex femoral artery Lateral circumflex femoral artery External iliac artery Femoral artery Adductor hiatus Arterial anastomosis Popliteal artery Anterior tibial artery Posterior tibial artery Fibular (peroneal) artery Dorsalis pedis artery Lateral plantar artery Lateral plantar artery Medial plantar artery Arcuate artery Plantar arch Dorsal metatarsal arteries Schematic flowchart © 2013 Pearson Education, Inc. Plantar metatarsal arteries 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 thigh Lateral circumflex femoral artery Medial circumflex femoral artery Obturator artery Femoral artery Adductor hiatus Popliteal artery Anterior tibial artery Posterior tibial artery Fibular artery Dorsalis pedis artery Arcuate artery Dorsal metatarsal arteries © 2013 Pearson Education, Inc. Anterior view Figure 19.25c Arteries of the right pelvis and lower limb. Popliteal artery Anterior tibial artery Posterior tibial artery Lateral plantar artery Medial plantar artery © 2013 Pearson Education, Inc. Posterior view Fibular artery Dorsalis pedis artery (from top of foot) Plantar arch Figure 19.26a Major veins of the systemic circulation. Veins of R. upper limb R. axillary R. external jugular – superficial head and neck R. vertebral – cervical spinal cord and vertebrae 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. brachiocephalic – R. side of head and R. upper limb 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 R. suprarenal (L. suprarenal drains into L. renal vein) – adrenal glands R. gonadal (L. gonadal drains into L. renal vein) – testis or ovary R. common iliac – pelvis and R. lower limb Veins of R. lower limb © 2013 Pearson Education, Inc. Schematic flowchart. 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 of L. lower limb Figure 19.26b Major veins of the systemic circulation. Veins of the head and trunk Dural venous sinuses External jugular vein Vertebral vein Internal jugular vein Right and left brachiocephalic veins Superior vena cava Great cardiac vein Hepatic veins Splenic vein Hepatic portal vein Renal vein Superior mesenteric vein Inferior mesenteric vein Inferior vena cava Common iliac vein Internal iliac vein Veins that drain the upper limb Subclavian vein Axillary vein Cephalic vein Brachial vein Basilic vein Median cubital vein Ulnar vein Radial vein Digital veins Veins that drain the lower limb External iliac vein Femoral vein Great saphenous vein Popliteal vein Posterior tibial vein Anterior tibial vein Small saphenous vein Dorsal venous arch Dorsal metatarsal veins Illustration, anterior view. The vessels of the pulmonary circulation are not shown. © 2013 Pearson Education, Inc. Figure 19.27a Venous drainage of the head, neck, and brain. Superior sagittal sinus Inferior sagittal sinus Occipital vein Superficial temporal vein Straight sinus Transverse sinus Ophthalmic vein Cavernous sinus Facial vein Posterior auricular vein Sigmoid sinus Internal jugular vein External jugular vein Superior thyroid vein Vertebral vein Middle thyroid vein Brachiocephalic veins Subclavian vein Superior vena cava Schematic flowchart © 2013 Pearson Education, Inc. Figure 19.27b Venous drainage of the head, neck, and brain. Ophthalmic vein Superficial temporal vein Facial vein Occipital vein Posterior auricular vein External jugular vein Vertebral vein Internal jugular vein Superior and middle thyroid veins Brachiocephalic vein Subclavian vein Superior vena cava Veins of the head and neck, right superficial aspect © 2013 Pearson Education, Inc. 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 © 2013 Pearson Education, Inc. Figure 19.28a Veins of the thorax and right upper limb. Internal Subclavian jugular vein vein External Brachiocephalic jugular vein veins Axillary vein Superior vena cava Accessory hemiazygos vein Median cubital vein Azygos vein Brachial vein Hemiazygos vein Right and left posterior intercostal veins Cephalic vein Median antebrachial vein Radial vein Basilic vein Ulnar vein Deep venous palmar arch Metacarpal veins Superficial venous palmar arch Digital veins Schematic flowchart © 2013 Pearson Education, Inc. Figure 19.28b Veins of the thorax and right upper limb. Brachiocephalic veins Right subclavian vein Axillary vein Brachial vein Cephalic vein Basilic vein Internal jugular vein External jugular vein Left subclavian vein Superior vena cava Azygos vein Accessory hemiazygos vein Hemiazygos vein Posterior intercostals Inferior vena cava Ascending lumbar vein Median cubital vein Median antebrachial vein Cephalic vein Radial vein Anterior view © 2013 Pearson Education, Inc. Basilic vein Ulnar vein Deep venous palmar arch Superficial venous palmar arch Digital veins Figure 19.29a Veins of the abdomen. Inferior vena cava Cystic vein Hepatic portal system Inferior phrenic veins Hepatic veins Hepatic portal vein Superior mesenteric vein Splenic vein Suprarenal veins Renal veins Inferior mesenteric vein Gonadal veins Lumbar veins R. ascending lumbar vein L. ascending lumbar vein Common iliac veins External iliac vein Internal iliac veins Schematic flowchart. © 2013 Pearson Education, Inc. Figure 19.29b Veins of the abdomen. Hepatic veins Inferior phrenic vein Inferior vena cava Right suprarenal vein Left suprarenal vein Renal veins Right gonadal vein External iliac vein Left ascending lumbar vein Lumbar veins Left gonadal vein Common iliac vein Internal iliac vein Tributaries of the inferior vena cava. Venous drainage of abdominal organs not drained by the hepatic portal vein. © 2013 Pearson Education, Inc. Figure 19.29c Veins of the abdomen. Hepatic veins Liver Hepatic portal vein Gastric veins Spleen Inferior vena cava Splenic vein Right gastroepiploic vein Inferior mesenteric vein Superior mesenteric vein Small intestine Large intestine Rectum The hepatic portal circulation. © 2013 Pearson Education, Inc. Figure 19.30a Veins of the right lower limb. Internal iliac vein Inferior vena cava Common iliac vein External iliac vein Femoral vein Great saphenous vein Femoral vein Popliteal vein Small saphenous vein Small saphenous vein Anterior tibial vein Fibular (peroneal) vein Fibular (peroneal) vein Posterior tibial vein Plantar veins Dorsalis pedis vein Dorsal venous arch Deep plantar arch Dorsal metatarsal veins Digital veins Anterior Posterior Schematic flowchart of the anterior and posterior veins © 2013 Pearson Education, Inc. Figure 19.30b Veins of the right lower limb. Common iliac vein Internal iliac vein External iliac vein Inguinal ligament Femoral vein Great saphenous vein (superficial) Popliteal vein Small saphenous vein Fibular vein Anterior tibial vein Dorsalis pedis vein Dorsal venous arch Dorsal metatarsal veins © 2013 Pearson Education, Inc. Anterior view Figure 19.30c Veins of the right lower limb. Great saphenous vein Popliteal vein Anterior tibial vein Fibular vein Small saphenous vein (superficial) Posterior tibial vein Plantar veins Deep plantar arch Digital veins © 2013 Pearson Education, Inc. Posterior view