Aorta
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Aorta
The aorta ( ) is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen, where it splits into two smaller arteries (the common iliac arteries). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation. Structure Sections In anatomical sources, the aorta is usually divided into sections. One way of classifying a part of the aorta is by anatomical compartment, where the thoracic aorta (or thoracic portion of the aorta) runs from the heart to the diaphragm. The aorta then continues downward as the abdominal aorta (or abdominal portion of the aorta) from the diaphragm to the aortic bifurcation. Another system divides the aorta with respect to its course and the direction of blood flow. In this system, the aorta starts as the ascending aorta, travels superiorly from the heart, and then makes a hairpin turn known as the aortic arch. Following the aortic a ...
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Renal Arteries
The renal arteries are paired arteries that supply the kidneys with blood. Each is directed across the crus of the diaphragm, so as to form nearly a right angle. The renal arteries carry a large portion of total blood flow to the kidneys. Up to a third of total cardiac output can pass through the renal arteries to be filtered by the kidneys. Structure The renal arteries normally arise at a 90° angle off of the left interior side of the abdominal aorta, immediately below the superior mesenteric artery. They have a radius of approximately 0.25  cm, 0.26 cm at the root. The measured mean diameter can differ depending on the imaging method used. For example, the diameter was found to be 5.04 ± 0.74 mm using ultrasound but 5.68 ± 1.19 mm using angiography. Due to the anatomical position of the aorta, the inferior vena cava, and the kidneys, the right renal artery is normally longer than the left renal artery. * The right passes behind the inferior vena ...
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Middle Suprarenal Arteries
The middle suprarenal artery (middle capsular artery) is a paired artery in the abdomen. It is a branch of the aorta. It supplies the adrenal gland. Structure Origin The middle suprarenal artery (usually) arises from lateral aspect of the abdominal aorta. Its origin occurs at roughly the same level as that of the superior mesenteric artery. Course The vessel passes laterally and slightly superior-ward, passing over the crura of the diaphragm to reach the surface of the ipsilateral suprarenal gland, whereupon it forms anastomoses with the other suprarenal arteries. Relations The anatomical relations of the left and right middle superior artery differ. The right vessel crosses the inferior vena cava posteriorly near the right celiac ganglion. The left vessel passes near the right celiac ganglion, superior margin of the spleen, and splenic artery. Variation There is usually a single middle suprarenal artery (on either side of the body), but in some individuals, th ...
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Dorsal Aorta
The dorsal aortae are paired (left and right) embryological vessels which progress to form the descending aorta. The paired dorsal aortae arise from aortic arches that in turn arise from the aortic sac. The primary dorsal aorta is located deep to the lateral plate of mesoderm and move from lateral to medial position with development and eventually will fuse with the other dorsal aorta to form the descending aorta. Each primitive aorta anteriorly receives the vitelline vein from the yolk-sac, and is prolonged backward on the lateral aspect of the notochord under the name of the dorsal aorta. The dorsal aortae give branches to the yolk-sac, and are continued backward through the body-stalk as the umbilical arteries to the villi of the chorion The chorion is the outermost fetal membrane around the embryo in mammals, birds and reptiles ( amniotes). It develops from an outer fold on the surface of the yolk sac, which lies outside the zona pellucida (in mammals), known a ...
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Common Iliac Arteries
The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates into the external and internal iliac arteries. Structure The common iliac artery are about 4 cm long in adults and more than a centimeter in diameter. It begins as a branch of the aorta. This is at the level of the 4th lumbar vertebra. It runs inferolaterally, along the medial border of the psoas muscles. It bifurcates into the external iliac artery and the internal iliac artery at the pelvic brim, in front of the sacroiliac joints. The common iliac artery, and all of its branches, exist as paired structures (that is to say, there is one on the left side and one on the right). The distribution of the common iliac artery is basically the pelvis and lower limb (as the femoral artery) on the corresponding side. Relations Both commo ...
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Lumbar Arteries
The lumbar arteries are arteries located in the lower back or lumbar region. The lumbar arteries are in parallel with the intercostals. They are usually four in number on either side, and arise from the back of the aorta, opposite the bodies of the upper four lumbar vertebrae. A fifth pair, small in size, is occasionally present: they arise from the middle sacral artery. They run lateralward and backward on the bodies of the lumbar vertebrae, behind the sympathetic trunk, to the intervals between the adjacent transverse processes, and are then continued into the abdominal wall. The arteries of the right side pass behind the inferior vena cava, and the upper two on each side run behind the corresponding crus of the diaphragm. The arteries of both sides pass beneath the tendinous arches which give origin to the psoas major, and are then continued behind this muscle and the lumbar plexus. They now cross the quadratus lumborum, the upper three arteries running behind, the ...
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Superior Mesenteric Artery
In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas. Structure It arises anterior to lower border of vertebra L1 in an adult. It is usually 1 cm lower than the celiac trunk. It initially travels in an anterior/inferior direction, passing behind/under the neck of the pancreas and the splenic vein. Located under this portion of the superior mesenteric artery, between it and the aorta, are the following: * left renal vein - travels between the left kidney and the inferior vena cava (can be compressed between the SMA and the abdominal aorta at this location, leading to nutcracker syndrome). * the third part of the duodenum, a segment of the small intestines (can be compressed by the SMA at this location, lead ...
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Inferior Phrenic Arteries
The inferior phrenic arteries are two small vessels which supply the diaphragm. They present much variety in their origin. Structure Origin The inferior phrenic arteries usually arise between T12 and L2 vertebrae. They may arise separately from the front of the aorta, immediately above the celiac artery, or by a common trunk, which may spring either from the aorta or from the celiac artery. Sometimes one is derived from the aorta, and the other from one of the renal arteries; they rarely arise as separate vessels from the aorta. Branches They diverge from one another across the crura of the diaphragm, and then run obliquely upward and lateralward upon its under surface. * The ''left phrenic'' passes behind the esophagus, and runs forward on the left side of the esophageal hiatus. * The ''right phrenic'' passes behind the inferior vena cava, and along the right side of the foramen which transmits that vein. Near the back part of the central tendon each vessel divides i ...
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Right Coronary Artery
In the blood supply of the heart, the right coronary artery (RCA) is an artery originating above the right cusp of the aortic valve, at the right aortic sinus in the heart. It travels down the right coronary sulcus, towards the crux of the heart. It supplies the right side of the heart, and the interventricular septum. Structure The right coronary artery originates above the right aortic sinus above the aortic valve. It passes through the right coronary sulcus (right atrioventricular groove), towards the crux of the heart. It gives off many branches, including the posterior interventricular artery, the right marginal artery, the conus artery, and the sinoatrial nodal artery. Segments * Proximal: starting at RCA origin, spanning half the distance to the acute margin * Middle: from proximal segment to the acute margin * Distal: from middle segment to origination point of the posterior interventricular artery, where the posterior interventricular sulcus meets the a ...
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Median Sacral Artery
The median sacral artery (or middle sacral artery) is a small artery that arises posterior to the abdominal aorta and superior to its bifurcation. Structure The median sacral artery arises from the abdominal aorta at the level of the bottom quarter of the third lumbar vertebra. It descends in the middle line in front of the fourth and fifth lumbar vertebrae, the sacrum and coccyx, ending in the glomus coccygeum (coccygeal gland). Minute branches pass from it, to the posterior surface of the rectum. On the last lumbar vertebra it anastomoses with the lumbar branch of the iliolumbar artery; in front of the sacrum it anastomoses with the lateral sacral arteries, sending offshoots into the anterior sacral foramina. It is crossed by the left common iliac vein and accompanied by a pair of venae comitantes; these unite to form a single vessel that opens into the left common iliac vein. Development The median sacral artery is morphologically the direct continuation of th ...
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Inferior Mesenteric Artery
In human anatomy, the inferior mesenteric artery, often abbreviated as IMA, is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum. Structure Proximally, its territory of distribution overlaps (forms a watershed) with the middle colic artery, and therefore the superior mesenteric artery. The SMA and IMA anastomose via the marginal artery of the colon (artery of Drummond) and via Riolan's arcade (also called the "meandering artery", an arterial connection between the left colic artery and the middle colic artery). The territory of distribution of the IMA is more or less equivalent to the embryonic hindgut. Branches The IMA branches off the anterior surface of the abdominal aorta below the renal artery branch points, 3-4 cm above the aortic bifurcation ...
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Brachiocephalic Artery
The brachiocephalic artery (or brachiocephalic trunk or innominate artery) is an artery of the mediastinum that supplies blood to the right arm and the head and neck. It is the first branch of the aortic arch. Soon after it emerges, the brachiocephalic artery divides into the right common carotid artery and the right subclavian artery. There is no brachiocephalic artery for the left side of the body. The left common carotid, and the left subclavian artery, come directly off the aortic arch. However, there are two brachiocephalic veins. Structure The brachiocephalic artery arises, on a level with the upper border of the second right costal cartilage, from the start of the aortic arch, on a plane anterior to the origin of the left carotid artery. It ascends obliquely upward, backward, and to the right to the level of the upper border of the right sternoclavicular articulation, where it divides into the right common carotid artery and right subclavian arteries. The artery the ...
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Coronary Sinus
In anatomy, the coronary sinus () is a collection of veins joined together to form a large vessel that collects blood from the heart muscle ( myocardium). It delivers deoxygenated blood to the right atrium, as do the superior and inferior venae cavae. It is present in all mammals, including humans. The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening between the inferior vena cava and the right atrioventricular orifice or tricuspid valve. It returns blood from the heart muscle, and is protected by a semicircular fold of the lining membrane of the auricle, the valve of coronary sinus (or valve of Thebesius). The sinus, before entering the atrium, is considerably dilated - nearly to the size of the end of the little finger. Its wall is partly muscular, and at its junction with the great cardiac vein is somewhat constricted and furnished with a valve, known as the valve of Vieussens consisting of two unequal segments. Structure The coron ...
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