<<

Superior vena cava Parietal pleura (cut) Pulmonary Left trunk (cut) Apex of Diaphragm

(a)

© 2018 Pearson Education, Inc. 1 Midsternal line 2nd Diaphragm Point of maximal intensity (PMI) (b)

© 2018 Pearson Education, Inc. 2

Heart Right lung

(c) Posterior

© 2018 Pearson Education, Inc. 3 Pulmonary Fibrous trunk pericardium Parietal layer of serous pericardium Pericardium Pericardial cavity

Visceral layer of serous pericardium

Epicardium Myocardium Heart wall

Heart chamber

© 2018 Pearson Education, Inc. 4 Aorta

Left pulmonary Right Left

Right atrium Left pulmonary

Right pulmonary veins Pulmonary semilunar valve Left atrioventricular valve (bicuspid valve) Aortic semilunar valve Right atrioventricular valve () Left Right ventricle

Chordae tendineae Inferior vena cava Myocardium

Visceral pericardium (epicardium) (b) Frontal section showing interior chambers and valves

© 2018 Pearson Education, Inc. 5 Left ventricle

Right ventricle Muscular interventricular septum

© 2018 Pearson Education, Inc. 6 beds of where gas exchange occurs

Pulmonary Circuit

Pulmonary Pulmonary veins Venae Aorta and cavae branches

Left atrium

Left Right ventricle atrium Heart Right ventricle Systemic Circuit

Capillary beds of all body tissues where gas exchange occurs

KEY:

Oxygen-rich, CO2-poor Oxygen-poor, CO2-rich blood © 2018 Pearson Education, Inc. 7 (a) Operation of the AV valves

1 Blood returning 4 Ventricles contract, to the atria puts forcing blood against pressure against AV valve cusps. AV valves; the AV valves are forced open. 5 AV valves close.

2 As the ventricles 6 fill, AV valve cusps tighten, preventing hang limply into valve cusps from ventricles. everting into atria.

3 Atria contract, Ventricles forcing additional blood into ventricles.

AV valves open; AV valves closed; atrial pressure atrial pressure greater than less than ventricular pressure ventricular pressure

© 2018 Pearson Education, Inc. 8 (b) Operation of the semilunar valves Pulmonary trunk Aorta 1 As ventricles 2 As ventricles relax contract and and intraventricular intraventricular pressure falls, rises, blood flows back from is pushed up against arteries, filling the semilunar valves, cusps of semilunar forcing them open. valves and forcing them to close.

Semilunar valves open Semilunar valves closed

© 2018 Pearson Education, Inc. 9 Brachiocephalic trunk Left common carotid artery Superior vena cava Left subclavian artery

Right pulmonary artery Aortic arch Ligamentum arteriosum Left pulmonary artery Pulmonary trunk Left pulmonary veins

Right pulmonary Left atrium veins

Right atrium Circumflex artery Right coronary artery in (right Left coronary artery in atrioventricular groove) coronary sulcus (left atrioventricular groove) Anterior cardiac Left ventricle Right ventricle Great cardiac vein Marginal artery Anterior interventricular artery (in anterior Inferior vena cava interventricular sulcus) Apex (a) Anterior view of heart showing major vessels © 2018 Pearson Education, Inc. 10 Superior vena cava Sinoatrial (SA) node (pacemaker) Left atrium Atrioventricular (AV) node

Right atrium Atrioventricular (AV) bundle () Purkinje fibers Interventricular septum

© 2018 Pearson Education, Inc. 11 Left atrium Right atrium

Left ventricle Right ventricle

1 Atrial 2 Atrial 3 Isovolumetric 4 Ventricular 5 Isovolumetric (ventricular filling) systole contraction systole (ejection relaxation phase)

© 2018 Pearson Education, Inc. 12 (a) Artery Vein

© 2018 Pearson Education, Inc. 13 Artery • Vein • Loose Internal elastic lamina • Smooth muscle • Elastic fibers External elastic lamina • Collagen fibers Valve

Venule Capillary Lumen bed Lumen Basement membrane Endothelial cells

(b) Capillary © 2018 Pearson Education, Inc. 14 Valve (open)

Contracted skeletal muscle

Valve (closed)

Vein

Direction of blood flow

© 2018 Pearson Education, Inc. 15 Vascular shunt Precapillary sphincters

True

Terminal arteriole Postcapillary (a) Sphincters open; blood flows through true capillaries.

© 2018 Pearson Education, Inc. 16 Terminal arteriole Postcapillary venule (b) Sphincters closed; blood flows through vascular shunt.

© 2018 Pearson Education, Inc. 17 Cerebral arterial circle Anterior Frontal lobe (circle of Willis)

Optic chiasma • Anterior communicating Middle cerebral artery artery • Anterior cerebral artery

Internal carotid • Posterior communicating artery artery Mammillary body • Posterior cerebral artery

Temporal lobe Basilar artery Pons Vertebral artery Occipital lobe Cerebellum

(a) Posterior

© 2018 Pearson Education, Inc. 18 Arterial Venous blood blood Inferior vena cava Stomach and intestine Nutrients and Liver cells (hepatocytes) toxins absorbed Nutrients and toxins leave

Hepatic portal vein

First capillary bed Second capillary bed (liver sinusoids) Hepatic vein

Hepatic portal system

© 2018 Pearson Education, Inc. 19 Inferior vena cava (not part of )

Gastric veins Liver Spleen Stomach Hepatic portal vein Splenic vein

Pancreas

Inferior mesenteric vein

Superior mesenteric vein

Small intestine Large intestine

© 2018 Pearson Education, Inc. 20 120 Systolic pressure 100

80

60 Diastolic 40 pressure

Blood pressureBlood (mmHg) 20

0

Aorta Veins cavae Arteries Capillaries Venae © 2018 Pearson Education, Inc. 21 Arteries of the head and trunk Internal carotid artery External carotid artery Common carotid arteries Vertebral artery Arteries that supply the Subclavian artery Subclavian artery Brachiocephalic trunk Aortic arch Ascending aorta Coronary artery Thoracic aorta (above diaphragm) Brachial artery Celiac trunk Abdominal aorta Radial artery Superior mesenteric artery Ulnar artery Renal artery Gonadal artery Deep palmar arch

Superficial palmar arch Digital arteries

Arteries that supply the lower limb Inferior mesenteric artery Common iliac artery External iliac artery Femoral artery Popliteal artery Internal iliac artery

Anterior tibial artery Posterior tibial artery

Dorsalis pedis artery

Arcuate artery

© 2018 Pearson Education, Inc. 22 Veins of the head and trunk Dural venous sinuses External Vertebral vein Veins that drain the upper limb Right and left brachiocephalic veins Cephalic vein Superior vena cava Brachial vein Great cardiac vein Basilic vein Hepatic veins Splenic vein Hepatic portal vein Median cubital vein Superior Ulnar vein mesenteric vein Radial vein Inferior mesenteric vein Digital veins

Veins that drain the lower limb Inferior vena cava Femoral vein Popliteal vein Posterior tibial vein Anterior tibial vein Small saphenous vein

Dorsal venous arch Dorsal metatarsal veins

© 2018 Pearson Education, Inc. 23