00:01
As great as the heart is,
it wouldn't be much good to us
without some great vessels
connecting it to the rest
of the circulatory system.
00:07
So let's take a look at these great
vessels that attach to the heart.
00:12
We'll start with the
superior vena cava,
which drains deoxygenated blood
from the upper half of the body.
00:18
We see we have a
right internal jugular vein,
draining the head and neck.
00:22
And we have a right subclavian vein
draining the right upper limb.
00:26
And together they'll form
the right brachiocephalic vein.
00:30
Brachiocephalic refers to
upper limb and head.
00:34
And finally that will enter
into the SVC.
00:38
It's variable but usually,
the right inferior thyroid veins
are also going to drain
into the brachiocephalic
right before it goes into the SVC.
00:48
Similarly, on the left side,
we have a left
internal jugular vein,
we have a left subclavian vein,
and they'll form
the left brachiocephalic vein,
which is quite a bit
longer than the right
because it has to cross over
the midline to reach the SVC over
on the right side of the heart.
01:06
It also tends to receive
the inferior thyroid veins
on that side before joining the SVC.
01:12
And although wasn't pictured
on the right side,
the brachiocephalic also
tend to receive
the internal thoracic
or mammary veins.
01:20
If we remove the veins, we can see
our aortic arch a lot better.
01:25
So here we have our aortic arch.
01:27
And this first very large branch
we see something called
the Brachiocephalic trunk.
01:33
And as the name implies,
it's going to supply
the upper limb, and head
and neck.
01:37
And so it will branch into a
right common carotid artery
supplying the head and neck,
and a right subclavian artery
supplying the upper limb.
01:46
And here's where we have
a bit of a symmetry
because the left common carotid
and left subclavian arteries
arise directly from the arch.
01:55
Therefore, there is no
left brachiocephalic trunk.
01:59
There's just the one.
02:01
And the subclavian has some
notable branches
that are descriptive in their names,
including thyrocervical,
costoscervical, and vertebral.
02:12
They basically tell you
what they're going to supply.
02:14
And we've already seen
that the internal thoracic
or mammary arteries arise
from the subclavian.
02:20
Now, let's take a look from
the left side
where we can see our ascending
aorta becoming an arch
the aortic arch.
02:28
And then finally, posteriorly
becoming the descending aorta
as it heads towards the abdomen.
02:33
And it's going to go through
that hiatus.
02:36
The aortic hiatus in the
diaphragm in order to reach
the abdominal cavity.
02:41
Go back to an anterior view.
And we're going to remove the aorta
to see the pulmonary trunk, and
its branches better.
02:49
We see the pulmonary trunk
is pretty short before it branches
into the right and left main
pulmonary arteries.
02:56
And if we swing around to the left,
we can see it again.
02:59
With again a very short trunk
forming almost
a T shaped intersection
where it bifurcates
into the left and right
pulmonary arteries.
03:07
Here we see the
left pulmonary artery
coming right at us and
towards the hilum of the lung.
03:13
We also see a tiny bit
of connective tissue
between the pulmonary
trunk and aorta
called the ligamentum arteriosum.
03:20
Which if you recall from
fetal circulation
is the leftover remnants
of that fetal bypass called
the ductus arteriosus.
03:29
And it's connecting again
to the aortic arch,
which in this case,
we see that it's going over
the right pulmonary artery
before moving leftward,
to cross over
the left main bronchus.
03:43
And this is what we mean
when we say an arch
is a left sided arch or
a leftward arch.
03:49
When you learn about
congenital heart diseases,
you'll hear that term and
a left sided arch
is the more common arrangement.
03:57
But you might hear the term
right sided arch.
03:59
And in that case, it will
cross over the right main bronchus.