blood circulation dr aa adebesin, dept. of anat. x4130
TRANSCRIPT
![Page 1: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/1.jpg)
Blood circulation
Dr AA Adebesin, Dept. of Anat. X4130
![Page 2: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/2.jpg)
Objectives
• To understand the types and histological organisation of blood vessels
• To understand the anatomy of the heart
• To understand the systemic circulation
• To understand the pulmonary circulation
• To understand the coronary circulation
• To understand the hepatic portal circulation
• To understand the brain circulation
![Page 3: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/3.jpg)
Blood circulation
• The essential components of the human cardiovascular system are the heart, blood and blood vessels
• There are three types of blood vessels: arteries, veins, and capillaries
• Blood under high pressure leaves the heart and is distributed to the body by a branching system of thick-walled arteries.
• The final distributing vessels, arterioles, deliver oxygen-rich blood to capillaries.
![Page 4: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/4.jpg)
• Capillaries form a capillary bed, where the interchange of oxygen, nutrients, waste products, and other substances with the extracellular fluid occurs.
• The heart is a dual suction and pressure pump that propels blood through the infinite double loop formed by the pulmonary and systemic circuits
•
![Page 5: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/5.jpg)
![Page 6: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/6.jpg)
Structure of the vessels
The tunics
![Page 7: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/7.jpg)
![Page 8: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/8.jpg)
The tunica externa, (or adventitia), is the outermost layer of a blood vessel, surrounding the tunica media. It is mainly composed of collagen and is supported by external elastic lamina. The collagen serves to anchor the blood vessel to nearby organs, giving it stability.It also contains nerves (Vasa nervorum) that supply the vessel as well as nutrient capillaries (vasa vasorum) in the larger blood vessels.
![Page 9: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/9.jpg)
The tunica media or middle coat (the thickest layer): has circularly arranged elastic fibre, connective tissue, polysaccharide substances.The tunica media is distinguished from the inner (tunica intima) by its colour and by the transverse arrangement of its fibres.In the smaller arteries it consists principally of plain muscle fibres in fine bundles, arranged in lamellae and disposed circularly around the vessel.
![Page 10: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/10.jpg)
These lamellae vary in number according to the size of the vessel; the smallest arteries having only a single layer, and those slightly larger three or four layers. These vascular smooth muscles control the calibre of the vessels It is this coat that determines the thickness of the wall of the artery, Exceptions: arteries of cranium and vertebral column..
![Page 11: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/11.jpg)
The tunica intima or intima (the thinnest layer) It is the innermost layer of an artery or vein.It is made up of a single layer of simple squamous endothelial cells glued by a polysaccharide intercellular matrix.There is a thin layer of subendothelial connective tissue interlaced with a number of circularly arranged elastic bands called the internal elastic lamina The endothelial cells are in direct contact with the blood flow
![Page 12: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/12.jpg)
The arteries and veins have similar structures, veins having reduced tunica media than the arteries
Capillaries consist of little more than a layer of endothelium and occasional connective tissue.
![Page 13: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/13.jpg)
Arterial wall
A key and quantifiable feature of endothelial dysfunction is the inability of arteries and arterioles to dilate fully in response to an appropriate stimulus that stimulates release of vasodilators from the endothelium like nitric oxide
Endothelial function can be improved significantly by exercise and improved diet
Venous wall
![Page 14: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/14.jpg)
When blood vessels connect to form a region of diffuse vascular supply it is called an anastomosis.
Anastomoses provide critical alternative routes for blood to flow in case of blockages.
Arteries that do not anastomose with adjacent arteries are true terminal arteries (end arteries). Occlusion of an end artery interrupts the blood supply to the structure or segment of an organ it supplies
![Page 15: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/15.jpg)
The design of the heart • The atria and ventricles are attached to pair of
conjoined fibrous rings that bound the orifices
• The muscle cells are shorter than in the skeletal muscle
• Boundary membrane of adjacent cells interdigitate to increase surface area for conduction of impulses
• Cells are arranged in whorls and spirals enabling each chamber to empty by mass contraction
![Page 16: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/16.jpg)
![Page 17: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/17.jpg)
• Primarily to aid circulation of blood
• Enclosed in the pericardium
• 3 layered muscle : epicardium, myocardium, endocardium
• 4 chambers
• Muscular wall of left ventricle is thicker than the right
![Page 18: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/18.jpg)
The valves and cusps
• Tricuspid valve
• Mitral valve
• Aortic valve
• Pulmonary valve
• All have 3 valves and cusps except mitral (has only 2)
![Page 19: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/19.jpg)
Pulmonarytrunk
The chambers of the heart
![Page 20: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/20.jpg)
Pulmonary circulation
•Between the heart and the Lungs
•From Rt ventricle via pulmonary (trunk) arteries to the lungs
•Return to Lf atrium via pulmonary veins
•Essentially for oxygenation
![Page 21: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/21.jpg)
Left lung
Pulmonarytrunk
The heart and the lungs in situ
![Page 22: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/22.jpg)
The pulmonary circulation loop is virtually bypassed in fetal circulation.
The fetal lungs are collapsed, and blood passes from the right atrium directly into the left atrium through the foramen ovale, an open passage between the two atria
![Page 23: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/23.jpg)
Fossa ovalis
![Page 24: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/24.jpg)
![Page 25: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/25.jpg)
Systemic circulation
•Blood circulation of the body excluding pulmonary circulation
•From the Lt ventricle (via the aorta) and returns via venae cavae and coronary sinus to (the Rt atrium)
•Transports oxygenated blood away and return deoxygenated blood to the heart
![Page 26: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/26.jpg)
Blood circulation of the heart
• The right and left coronary arteries are responsible for supplying the heart.
• The circulatory system of the myocardium is unique in that the coronary arteries fill during ventricular diastole as a result of aortic recoil
![Page 27: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/27.jpg)
L. Coronary art.
R coronary art
Coronary sinus
Blood supply of the heart
Anterior interventricular art
![Page 28: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/28.jpg)
Coronary sinus(vein)
Venous return of the heart
Middle cardiac vein
![Page 29: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/29.jpg)
Arch of aorta
L subclavian
Common carotid
R Brachiocephalic vein
The big vessels of the body
![Page 30: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/30.jpg)
![Page 31: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/31.jpg)
Superficial temporalvein
Facial art
![Page 32: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/32.jpg)
The deep arteries of the face
Internal jugular vein
Common carotid art.
![Page 33: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/33.jpg)
Axillary artery
Brachial art
Subclavian v
Axillary vein
![Page 34: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/34.jpg)
Brachial art
Radial art
Ulnar art
![Page 35: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/35.jpg)
Renal veinInferior vena cava
Thoracic aorta
Left Kidney
![Page 36: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/36.jpg)
Renal art
Branches of renal artery are example of terminal arteries
The renal artery and branches
![Page 37: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/37.jpg)
Abdominal aorta
Common iliac
Internal iliac
External iliac
Femoral art
Sup. Mesenteric art
Celiac art
![Page 38: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/38.jpg)
Popliteal art
Small saphenous vein
![Page 39: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/39.jpg)
Portal circulation
Inf vena cava
Hepatic vein
Hepatic artery
Portal vein(splenic + sup Mesenteric vv)
sinusoids
![Page 40: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/40.jpg)
spleen
sup. Mesenteric vein
Inf. Mesenteric vein
Splenic vein
![Page 41: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/41.jpg)
Blood circulation of the brain
Principal arteries
•Vertebral art•Internal carotid artery
Internal carotid art
Post communicating art
Basilar art
![Page 42: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/42.jpg)
Brain circulation
![Page 43: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/43.jpg)
• Internal carotid artery supplies the forebrain except the occipital lobes
• The vertebral artery supplies the brainstem and the occipital lobes
• The vertebral and internal carotid artery form circulus arteriousus
• The final branches from this circle of Willis that supply the cortical tissues are end arteries
![Page 44: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/44.jpg)
Int. carotid art
Vertebral art
Basilar art
Middle cerebral art
![Page 45: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/45.jpg)
Anterior cerebral art.
Posterior cerebral art.
Middle cerebral art.
Basilar art.
![Page 46: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/46.jpg)
Small artery and vein, pia mater of sheep. X 250. Surface view above the interrupted line; longitudinal section below. Artery in red; vein in blue
![Page 47: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/47.jpg)
Important branches to note
Perforating branches: lenticulostriate arteries, i.e. medial and lateral striate arteries supply the basal nuclei
Middle meningeal artery: found in epidural space outside of the brain i.e. between the cranium and the meninges
![Page 48: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/48.jpg)
Venous drainage
Blood from the brain eventually drains into the
sigmoid sinus internal jugular vein
![Page 49: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/49.jpg)
What to expect……………
The test questions!
![Page 50: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/50.jpg)
Concerning the blood vessels, which of the following statements is (are) true?
a.arteries are vessels that transport blood from the periphery to the heart
b. the diffusion of gases, nutrients and wastes occurs in the venules
c. an end artery is an artery with sufficient anastomosis to maintain viability of the tissue supplied if an arterial occlusion occurs
d. arteries are vessels that transport blood from the heart to the tissues or the lung
![Page 51: Blood circulation Dr AA Adebesin, Dept. of Anat. X4130](https://reader034.vdocuments.us/reader034/viewer/2022051115/56649e9f5503460f94ba11c4/html5/thumbnails/51.jpg)
Thank you 4 your attention!