2

Seeley’s
ESSENTIALS OF
Anatomy &
Physiology Chapter 13
Tenth Edition

Cinnamon Vanputte
Blood Vessels
Jennifer Regan
Andrew Russo
and Circulation
See separate PowerPoint slides for all figures and tables
pre-inserted into PowerPoint without notes.
Lecture Outline
© 2019 McGraw-Hill Education. All rights reserved. Authorized only for instructor use in the classroom. No reproduction or further distribution permitted without the prior written consent of McGraw-Hill Education. © 2019 McGraw-Hill Education

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Blood Vessels Blood Vessel Functions

Blood vessels outside the heart are divided into 1. Carry blood
two classes:
2. Exchange nutrients, waste products, gases
1. The pulmonary vessels, which transport within tissues
blood from the right ventricle of the heart
3. Transport substances
through the lungs and back to the left atrium
4. Regulate blood pressure
2. The systemic vessels, which transport blood
from the left ventricle of the heart through all 5. Direct blood flow to tissues
parts of the body and back to the right atrium

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Vessel Structures Blood Flow

Arteries: Blood flows from arteries into arterioles
• carry blood away from heart Arterioles into capillaries
• thick with a lot of elastic Capillaries into venules
Veins: Venules to small veins
• carry blood toward heart
Veins return to heart
• think with less elastic
Capillaries:
• exchange occurs between blood and tissue fluids
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Blood Vessel Walls Artery and Vein

Tunica intima:
• innermost layer
• simple squamous
Tunica media:
• middle layer
• smooth muscle with elastic and collagen
Tunica adventitia:
• outermost layer
• connective tissue Figure 13.2
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Types of Arteries Arteries

Elastic arteries:
• largest in diameter
• thickest walls
• Example - aorta and pulmonary trunk
Muscular arteries:
• medium to small size
• thick in diameter
• contain smooth muscle cells
• can control blood flow to body regions Figure 13.1a,b
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Capillaries Capillary Network

Blood flows from arterioles into capillaries
Capillaries branch to form networks
Blood flow is regulated by smooth muscle cells,
precapillary sphincters

Figure 13.3
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Capillary Structure Types of Veins

Blood flows from capillaries into venules
Blood flows from venules into small veins
All 3 tunics are present in small veins
Medium sized veins:
• collect blood from small veins and deliver to large
veins
Large veins:
• contain valves
Figure 13.1d
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Blood Vessel Structure Valves

Figure 13.1 Figure 13.4

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Pulmonary Circulation Vessels Systemic Circulation Vessels

Pulmonary circulation: The systemic circulation carries blood from the
• blood vessels that carry blood from right ventricle to
left ventricle to the tissues of the body and back
lungs and back from left atrium of heart to the right atrium.

Pulmonary trunk: Oxygenated blood from the pulmonary veins

• blood pump from right ventricle towards lung
Pulmonary veins:
• exit lungs and carry O2 rich blood to left atrium
passes from the left atrium into the left ventricle
and from the left ventricle into the aorta.
Arteries distribute blood from the aorta to all
portions of the body

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Blood Flow through the Circulation Parts of the Aorta 1

Ascending:
• passes superiorly from left ventricle
Aortic arch:
• 3 major arteries which carry blood to head and
upper limbs
Descending:
• extends through thorax and abdomen to pelvis

Figure 13.5
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Parts of the Aorta 2 Major Arteries

Thoracic:
• part of descending aorta that extends through
thorax to diaphragm
Abdominal:
• descending aorta that extends from diaphragm
where it divides at the common iliac arteries

Figure 13.6
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Branches of the Aorta Arteries of the Head and Neck 1

Branches of aortic arch:

• brachiocephalic artery
• left common carotid artery
• left subclavian
Brachiocephalic artery:
• first branch off aortic arch
• supplies blood to right side of head and neck

Figure 13.7
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Arteries of the Head and Neck 2 Arteries of the Head and Neck 3

Left common carotid artery: Right common carotid artery:

• 2nd branch off aortic arch • branches off brachiocephalic artery
• supplies blood to the left side of head and neck • supplies blood to right side of head and neck
Left subclavian artery: Right subclavian artery:
• 3rd branch off aortic arch • branches off brachiocephalic artery
• supplies blood to left upper limbs • supplies blood to right upper limbs

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Arteries of the Head and Neck Cerebral Arterial Circle

Figure 13.8 Figure 13.10

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Major Arteries of the Head and Thorax Arteries of the Upper Limbs 1

Axillary arteries:
• continuation of subclavian
• supply blood deep in clavicle
Brachial arteries:
• continuation of axillary
• where blood pressure measurements are taken

Figure 13.9
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Arteries of the Upper Limbs 2 Arteries of the Upper Limbs 3

Ulnar arteries:
• branch of brachial artery
• near elbow
Radial arteries:
• branch of brachial artery
• supply blood to forearm and hand
• pulse taken here

Figure 13.11
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Abdominal Aorta Branches 1 Abdominal Aorta Branches 2

Celiac trunk arteries: Renal arteries:

• supply blood to stomach, pancreas, spleen, liver, • supply blood to kidneys
upper duodenum
Hepatic arteries:
Superior mesenteric arteries:
• supply blood to liver
• supply blood to small intestines and upper portion
of colon Testicular arteries:
• supply blood to testes
Inferior mesenteric arteries:
• supply blood to colon Ovarian arteries:
• supply blood to ovaries
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Abdominal Aorta Branches 3 Arteries of Pelvis

Inferior phrenic arteries: Common iliac arteries:
• supply blood to diaphragm • branches from abdominal aorta
• divides into internal iliac arteries
Lumbar arteries:
External iliac arteries:
• supply blood to lumbar vertebra and back muscles
• division of common iliac artery
• supply blood to lower limbs
Internal iliac arteries:
• division of common iliac
• supply blood to pelvic area
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 Major Arteries of the Abdomen and 37 38

Arteries of the Lower Limbs 1

Pelvis
Femoral arteries:
• supply to thigh
Popliteal arteries:
• supply blood to knee
Anterior and posterior arteries:
• supply blood to leg and foot
Fibular arteries:
Figure 13.12 • supply blood to lateral leg and foot
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Arteries of the Lower Limbs 2 Veins 1

Veins return blood to the heart.

In the systemic circulation, the blood returning
to the heart is deoxygenated.
In the pulmonary circulation, the blood
returning to the heart in the pulmonary veins is
oxygenated.

Figure 13.13
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Veins 2 Major Veins

Superior vena cava:
• returns blood from head, neck, thorax, and right
upper limbs
• empties into right atrium of heart
Inferior vena cava:
• returns blood from abdomen, pelvis, lower limbs
• empties into right atrium of heart

Figure 13.14
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Veins of the Head and Neck 1 Veins of the Head and Neck 2

External jugular vein: Subclavian veins:

• drain blood from head and neck • forms brachiocephalic veins
• empties into subclavian veins Brachiocephalic veins:
Internal jugular vein: • join to form superior vena cava
• drain blood from brain, face, neck
• empty into subclavian veins

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Veins of the Head and Neck 3 Veins of the Upper Limbs 1

Brachial veins:
• empty into axillary vein
Cephalic veins:
• empty into axillary vein and basilic vein
Median cubital veins:
• connects to cephalic vein
• near elbow

Figure 13.15
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Veins of the Upper Limbs 2 Veins of the Thorax 1

Right and left brachiocephalic veins:

• drain blood from thorax into superior vena cava
Azygos veins:
• drain blood from thorax into superior vena cava
Internal thoracic veins:
• empty into brachiocephalic veins

Figure 13.16
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Veins of the Thorax 2 Veins of the Thorax 3

Posterior intercostal veins:

• drain blood from posterior thoracic wall
• drains into azygos vein on right side
Hemiazygos vein:
• receives blood from azygos vein of left side

Figure 13.17
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Veins of the Abdomen and Pelvis 1 Veins of the Abdomen and Pelvis 2

Common iliac vein: Internal iliac vein:

• formed from external and internal iliacs • drains blood from pelvic region
• empty into inferior vena cava • empties into common iliac vein
External iliac vein: Renal vein:
• drains blood from lower limbs • drains blood from kidneys
• empty into common iliac vein

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Major Veins of the Abdomen and Pelvis Hepatic Portal System

Liver is a major processing center for substances
absorbed by intestinal tract.
Portal system:
• vascular system that begins with capillaries in
viscera and ends with capillaries in liver
• uses splenic vein and superior mesenteric vein

Figure 13.18
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Veins of the Hepatic Portal System Veins of the Lower Limbs 1

Femoral veins:
• drain blood from thigh and empty into external iliac
vein
Great saphenous veins:
• drain from foot and empty into femoral vein
Popliteal veins:
• drain blood from knee and empty into femoral vein

Figure 13.19
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Veins of the Lower Limbs 2 Blood Pressure

Blood pressure is the measure of force blood
exerts against blood vessel walls.
Systolic pressure: contraction of heart
Diastolic pressure: relaxation of heart
Average Blood Pressure: 120/80

Figure 13.20
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Measuring Blood Pressure Pulse Pressure

Pulse pressure is the difference between systolic
and diastolic blood pressures.
• Example - 120 for systolic / 80 for diastolic; pulse
pressure is 40 mm Hg
• pulse pressure points can be felt near large arteries

Figure 13.21
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Body Locations to Evaluate Pulses Capillary Exchange 1

Most exchange across capillary wall’s occurs by

diffusion
Blood pressure, capillary permeability and
osmosis affect movement of fluids across
capillary walls.
Net movement of fluid from blood into tissues
Fluid gained in tissues is removed by lymphatic
system
Figure 13.23
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Capillary Exchange 2 Local Control of Blood Flow

Local control achieved by relaxation and
contraction of precapillary sphincters
Sphincters relax blood flow increases
Precapillary sphincters controlled by metabolic
needs of tissues
Concentration of nutrients also control blood flow
Blood flow increases when oxygen levels decrease

Figure 13.24
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 Local Control of Blood Flow through 65 66

Nervous Control of Blood Flow

Capillary Beds
Vasomotor center:
• sympathetic division
• controls blood vessel diameter
Vasomotor tone:
• state of partial constriction of blood vessels
• increase causes blood vessels to constrict and blood
pressure to go up

Figure 13.25
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Hormonal Control of Blood Flow Nervous Regulation of Blood Vessels

The sympathetic division also regulates
hormonal control of blood flow through the
release of epinephrine and norepinephrine from
the adrenal medulla.
In most blood vessels, these hormones cause
constriction, which reduces blood flow.
In some tissues, such as skeletal muscle and
cardiac muscle, these hormones cause the blood
vessels to dilate, increasing blood flow.
Figure 13.26
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Mean Arterial Pressure 1 Mean Arterial Pressure 2

An adequate blood pressure is required to

maintain blood flow through the blood vessels of
the body.
Several regulatory mechanisms ensure that
blood pressure remains adequate for this task.
Mean arterial pressure (MAP) is a calculated
value that reflects an average arterial pressure in
various vessels of the body.

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Mean Arterial Pressure 3 Baroreceptor Reflexes

The MAP changes in response to changes in HR,
SV, or PR.
The mean arterial pressure changes over our
lifetime.
MAP is about 70 mm Hg at birth.
It is maintained at about 95 mm Hg from
adolescence to middle age, and may reach 110
mm Hg in a healthy older person.
Baroreceptor reflexes activate responses to
blood pressure in normal range
Baroreceptors respond to stretch in arteries due
to increased pressure
Located in carotid sinuses and aortic arch
Change peripheral resistance, heart rate, stroke
volume in response to blood pressure

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Baroreceptor Reflex Mechanisms Baroreceptor Effects on Blood Pressure

Figure 13.27 Figure 13.28

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Chemoreceptor Reflex Chemoreceptor Reflex Mechanisms

Chemoreceptors are sensitive to changes in
blood oxygen, carbon dioxide, and pH
Chemoreceptors are located in carotid bodies
and aortic bodies which lie near carotid sinuses
and aortic arch
They send action potentials along sensory nerve
to medulla oblongata

Figure 13.29
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Adrenal Medullary Mechanism 1 Adrenal Medullary Mechanism 2

1. Stimuli increase sympathetic stimulation to

adrenal medulla
2. Adrenal medulla secretes epinephrine and
norepinephrine into blood
3. This causes increased heart rate and stroke
volume and vasoconstriction
4. Vasodilation of blood vessels in skeletal and
cardiac muscle
Figure 13.30
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Renin-Angiotensin-Aldosterone 79
Renin-Angiotensin-Aldosterone 80

Mechanism 1 Mechanism 2

1. Reduce blood flow causes kidneys to release 6. Aldosterone acts on kidneys causes them to
renin conserve sodium and water
2. Renin acts on angiotensinogen to produce 7. Result less water lost in urine and blood
angiotensin I pressure maintained
3. Angiotensin-converting enzyme converts
angiotensin I to angiotensin II
4. Angiotensin II causes vasoconstriction
5. Angiotensin II acts on adrenal cortex to release
aldosterone
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 Renin-Angiotensin-Aldosterone 81 82

Antidiuretic Hormone Mechanism 1

Mechanism 3

1. Nerve cells in hypothalamus release

antidiuretic hormone (ADH) when
concentration of solutes in plasma increases or
blood pressure decrease
2. ADH acts of kidneys and they absorb more
water (decrease urine volume)
3. Result is maintain blood volume and blood
pressure

Figure 13.31
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Antidiuretic Hormone Mechanism 2 Long-Term Control of Blood Pressure

Figure 13.32 Figure 13.33

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Aging and Blood Vessels Atherosclerotic Plaque

Arteriosclerosis:
• makes arteries less elastic
Atherosclerosis:
• type of arteriosclerosis
• from deposit of materials in artery walls (plaque)
Factors that contribute to atherosclerosis:
• lack of exercise, smoking, obesity, diet high in
cholesterol and trans fats, some genetics
Figure 13.34
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