• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/172

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

172 Cards in this Set

  • Front
  • Back
blood vessels that carry blood away from the heart. All arteries, with the exception of the pulmonary and umbilical arteries, carry oxygenated blood. Blood leaves the heart by way of the pulmonary trunk and aorta, these vessels branch repeatadly, forming the vessels that distribute blood to body organs
Arteries

Page 429
Within the arteries further branching occurs, creating several hundred million tiny arteries called...
Arterioles

Page 429
Arterioles provide blood to more than 10 billion of these...
Capillaries

Page 429
Click here for a key point
Chemical and gaseous exchange between the blood and interstitial fluid occurs across capillary walls

Tissue cells rely on cpillary diffusion to obtain nutrients and oxygen and to remove metabolic wates such as carbon dioxide and urea.

Page 429
The smallest vessels of the venous system
Venules

Page 429
Venules, the smallest vessels of the venous system merge to form what....
Veins

Page 429
Blood passes through medium to large viens before reaching what structures......
1.The venae cavae
(in the systemic circit)

2.The pulmonary viens
(in the pulmonary circuit)
The innermost layer of a blood vessel
Tunica intima or tunica interna

Page 429
The middle layer of a blood vessel. Contains smooth muschle tissue in a framework of collagen and elastic fibers.
Tunica media

When the smooth muscles contract, vessel diameter decreases; when they relax, vessel diametr increases

Page 429
The outer layer of a blood vessel. It froms a sheath of connective tissue around the vessel.
Tunica externa or tunica adventitia

Its collagen fibers may intertwine with those of adjacent tissues, stabilizing and anchoring the blood vessel

Page 429

Page 429
Arterial smooth muscle is under the control of the sympathetic division of the autonomic nervous system. When stimulated, these muscles in the vessel wall contract and the artery constricts in a process called...
Vasoconstriction

Page 429
Relaxation increases the diameteer of the artery and its central opening the lumen, in a process called....
Vasodilation

Page 429
Large, extremely resilient vessels with diameters of up to 2.5 cm (1 in) Some examples are the pulmonary trunk and the aorta, and thier major arterial branches.
Elastic arteries

Page 430
These arteries distribute blood to skeletal muscles and internal organs. A typical muscular artery has a diameter of approximately 0.4 cm (0.15 in.) The external carotid arteries of the neck are one example.
Muscular arteries

Page 430
These are much smaller than the muscular arteries and have an internal diameter of about 30 um
Arterioles

Page 430
Click here for a key point
Capillaries are the only blood vessels whose walls permit exchange between the blood and the surrounding interstitial fluid. The average diameter is 8 um very close to that of a red blood cell.

Page 430
Capillaries do not function as individual units but as part of an interconnected network called...
a capillary bed

Page 431
The entrance to each capillary is guarded by a band of smooth muscle. Contraction of the smooth muscle fibers narrows the diameter of the capillary's entrance and reduces the blood flow. This is called a....
Precapillary sphincter

Page 432
A cyclical change in blood flow within any given capillary is intermittent rather than a steady and constant stream. The result of this is called
Vasomotion

the spontaneous oscillation in tone of blood vessels, independent of heart beat, innervation or respiration.

Page 432
a network of streams that both branch out and reconnect, such as blood vessels or leaf veins
Anastomosis

Page 433
Under certian conditions, blood completely bypasses a capillary bed through an....
Arteriovenous anastomosis

A blood vessel that connects an arteriole directly to a venule without capillary intervention.

Page 433
is when more than one artery fuses before giving rise to arterioles. An arterial anastomosis in effect provides an insurance policy for capillary beds: If one artery is compressed or blocked, the others can continue to deliver blood to the capillary bed, and dependent tissues will not be damaged.
Arterial anastomosis

Page 433
Click here for a key point
Veins collect blood from all tissues and organs and return it to the heart.

Page 433
Click here for a key point
Viens are classified on the basis of their internal diameters

Page 433
The smallest of the viens resembling expanded capillaries
Venules

Any smaller than 50 um lack a tunica media altogether.

Page 433
These viens range from 2 mm to 9 mm in diameter, (comparable in size with muscular arteries).
Medium-sized veins

In these veins, the tunica media contains several smooth muscle layers, and the relatively thick tunica externa has longitudinal bundles of elastic and collagen fibers.

Page 433
These viens include the two venae cavae and their tributaries in the abdominopelvic thoracic cavities.
Large veins

In these vessels, the thin tunica media is surrounded by a thick tunica externa compossed of elastic and collagenous fibers.

Page 433
Click here for a key point
Veins have relatively thin walls because they need not withstand much pressure. in venules and medium sized veins the pressure is so low that it cannot overcome the force of gravity.

Page 433
Medium sized veins contain folds of endothelium that function like the valves in the heart, preventing the backflow of blood. These structures are called....
Valves

Page 433
Another word for pressure difference
Pressure gradient

Page 434
Click here for a key point
The flow rate is directly proportional to the pressure difference: the greater the difference in pressure, the faster the flow

Page 434
The largest presure difference (or presure gradient) is found in the systemic circuit between the base of the aorta (where blood leaves the left ventricle) and the entrance to the right atrium (where blood returns to the heart). This presure difference is called
Circulatory pressure

Averages about 100 mm Hg. This relitively high circulatory pressure is needed primarily to force blood through the arterioles and into the capillaries.

Page 434
Circulatory pressure is dived into three components
1.Arterial pressure (routinely measured on a person's arm and referred to as blood presure)
2.Capillary pressure
3.Venous pressure

Page 434
Any force that opposes movement
Resistance

Page 434
The resistance of the entire cardiovascular system.
Total peripheral resistance

Page 435
The resistance of the arterial system is
Peripheral resistance

Page 435
Sources of peripheral resistance include....
1.Vascular resistance
2.Viscosity
3.Turbulence

Page 435
The resistance of the blood vessels to blood flow
Vascular resistance

The most important factor in vascular resistance is friction between the blood and the vessel walls.

Page 435
The resistance to flow resulting from interactions among molecules and suspended materials in a liquid
Viscosity

Page 435
A disorder in which the hematocrit is redueced due to inadequate production of hemoglobin, RBC's, or both.
Anemia

Page 435
Blood flowing at high rates, irregular surfaces caused by injury or disease processes, or sudden changes in vessel diameter upset the smooth flow of the blood, creating eddies and swirls. This phenomenon is called...
Turbulence

Page 435
The peak blood pressure measured during ventricular systole
Systolic pressure

Page 435
The minimum blood pressure at the end of ventricular diastole
Diastolic pressure

Page 435
A rhythmic pressure oscillation that accompanies each heartbeat
Pulse

Page 435
The difference between the systolic and diastolic pressure
Pulse pressure

Page 435
When diastole begins and blood pressures fall, the arteries recoil to their original dimensions. Because the aoritc semilunar valve prevents the return of blood to the heart, arterial recoil adds an extra push to the flow of blood. The magnitude of this phenomenon is called...
Elastic rebound

Page 436
What is the presure at the start of the venous system
18 mm Hg

Page 436
What is the blood pressure when it reaches a precapillary sphincter
about 35 mm Hg

Page 436
The presure of blood within a capillary bed
Capillary pressure

Page 436
Thin walled, valved structures that carry lymph
Lymphatic vessels

Page 436
Capillary exchange has 4 important functions
1.Maintaining constant communication between plasma and interstitial fluid
2.Speeding the distribution of nutrients, hormones, and dissolved gases throughout tissues
3.Assisting the movement of insoluble lipids and tissue proteins that cannot cross capillary walls
4.Flushing bacterial toxins and other chemical stimuli to lymphoid tissues and organs that function in providing immunity to disease.

Page 436
Capillary hydrostatic pressure (CHP)
Greatest at the arteriolar end (35 mm Hg) and least at the venous end (18 mm Hg)

Page 437
The movement of water across a selectively permeable memberane separating two solutions with different solute concentrations
Osmosis

Page 437
The pressure that must be applied to a solution to prevent the inward flow of water across a semipermeable membrane.[1]
Osmotic pressure

Page 437
An abnormal accumulation of interstitial fluids in the tissues
Edema

Page 437
A net movement of water from the interstitial fluid to the bloodstream increasing blood volume is called
A recall of fluids

Page 437
What is the approximate pressure at the entrance to the right atrium of the venous system
2 mm Hg

Page 437
Two factors help overcome gravity and propel venous blood toward the heart
1.Muscular compresion
2.The respiratory pump

Page 439
Three variable factors influence tissue blood flow
1.Cardiac output
2.peripheral resistance
3.blood pressure

Page 439
Mechanisms involved in the regulation of cardiovascular function include the following
1.Autoregulation
2.Neural mechanisms
3.Endocrine mechanisms

Page 439
Factors that promote the dilation of precapillary sphincters are called....
Vasodilators

Page 440
Factors that stimulate the constriction of precapillary sphincters are called....
Vasoconstrictors

Page 440
This center increases cardiac output through sympathetic innervation
Cardioacceleratory center

Page 440 (reference chapter 12)
This center reduces cardiac output through parasympathetic innervation
Cardioinhibitory center

Page 440
This center controls the diameters of arterioles through sympathetic innervation.
Vasomotor center

Inhibition of the vasomotor center leads to vasodilation (dialation of arterioles) reducing peripheral resistance.

Stimulation of the vasomotor center causes vasoconstriction (constriction of peripheral arterioles).

Page 440
Very strong stimulation of the vasomotor center causes
Venoconstriction (constriction of peripheral veins)

Page 441
Baroreceptor reflexes respond to changes in
Blood pressure

Page 441
Chemoreceptor reflexes respond to changes in
chemical composition

Page 441
These receptors monitor the degree of stretch in the walls of expandable organs
Baroreceptors

Page 441
Pockets in the walls of the aorta adjacent to the heart
Aortic sinuses

Baroreceptors involved in cardiac regulation are located in the aortic sinuses and in the walls of the carotid sinuses, and in the wall of the right atrium

Page 441
Expanded chambers near the bases of the internal carotid arteries of the neck
Carotid sinuses

Baroreceptors involved in cardiac regulation are located in the aortic sinuses and in the walls of the carotid sinuses, and in the wall of the right atrium

Page 441
Autonomic reflexes that adjust cardiac output and peripheral resistance to maintaiin normal arterial pressures.
Baroreceptor reflexes

Page 441
This reflex responds to changes in carbon dioxide, oxygen, or pH in blood and cerebrospinal fluid. They can be found in the carotid bodies (located in the neck and near the carotid sinuses) and in the aortic bodies (near the arch of the aorta), where they monitor the chemical composition of the arterial blood
Chemoreceptor reflexes

Additional chemoreceptors on the surface of the medulla oblongata monitor the composition of the cerebrospinal fluid (CSF)

Page 442
Click here for a key point
Chemoreceptors are activated by a drop in pH or in plasma, O2, or by a rise in CO2. Any of these changes leads to a stimulation of the cardioacceleratory and vasomotor centers,

Page 443
Large reservoirs of slowly moving venous blood in the liver, bone marrow, and skin
Venous reserve

This venous compensation can restore normal arterial pressures and peripheral blood flow after losses of 15-20 percent of total blood volume

Page 445
An acute circulatory crisis marked by low blood pressure (Hypotension) and inadequate peripheral blood flow.
Shock

Page 446
Composed of arteries and veins that transport blood between the heart and the lungs. This circuit begins at the right ventricle and ends at the left atrium.
The pulmonary circuit

Page 446
This circuit is composed of arteries that transport oxygenated blood and nutrients to all other organs and tissues and veins that return deoxygenated blood to the heart. This circuit begins at the left ventricle and ends at the right atrium.
Systemic circuit

Page 446
The start of the pulmonary circit after traveling through the right atrium and right ventricle
Pulmonary trunk

Page 447
Coming off the pulmonary trunk curving over the superior border of the heart and branching in two directions one left and one right
Left and right pulmonary arteries

Page 447
The left and right pulmonary arteries branch repeatadly, giving rise to smaller and smaller arteries. The smallest branches, the pulmonary arterioles, provide blood to capillary networks that surround small air pockets, or....
Alveoli

Page 447
As oxygenated blood leaves the alveolar capillaries, it enters venules, which in turn unite to form larger vessels leading to the
Pulmonary veins

These 4 viens (two from each lung) empty into the left atrium completing the pulmonary circuit

Page 447
The first systemic vessel and largest artery is the aorta. This part of the aorta begins at the aortic semilunar valve of the left ventricle.
Ascending aorta

Page 448
This part of the aorta curves across the superior surface of the heart conecting the ascending aorta with the desending aorta
Aortic arch

Page 448
The part of the aorta after the arotic arch
Descending aorta

Page 448
Three elastic arteries the brachiocephalic trunk along with the left common carotid artery and left subclavian artery origante along the aortic arch and provide blood where....
The head, neck, shoulders, and upper limbs

We have only one brachiocephalic trunk (on the right side of the body) and that the left common carotid and left subclavian arteries arise separately from the aortic arch
The brachiocephalic trunk ascends for a short distance befor branching to form...
The right common carotid artery and right subclavian artery

Page 448
The subclavian arteries provide blood where....
To the arms, chest wall, shoulders, back, and central nervous system

Page 450
Before a subclavian artery leaves the thoracic cavity, it gives rise to 3 other major arteries. What are they?
1.Internal thoracic artery
2.Vertebral artery
3.Thyrocervical trunk

Page 450
This artery supplies the pericardium and anterior wall of the chest and branches off the subclavian artery
Internal thoracic artery

Page 450
This artery supplies the brain and spinal cord and branches off the subclavian artery
Vertebral artery

Page 450
This artery branches off the subclavian artery and provides blood to the muscles and other tissues of the neck, shoulder, and upper back
Thyrocervical trunk

Page 450
After the subclavian artery passes the first rib it gets a new name....
Axillary artery

Page 450
This artery crosses the axilla (armpit) to enter the arm where the name changes from Axillary artery to....
Brachial artery

Page 450
The brachial artery provides blood to the arm before branching into these two arteries
Radial artery and Ulnar artery

Page 450
The radial artery and ulnar arteries connect at the palm to form anastomoses which are called the...
Palmar arches

Page 450
The palmar aarches is where the arteries in the fingers form from these arteries are called
Digital arteries

Page 450
This major artery can usually be located by pressing gently along either side of the windpipe (trachea) until a strong pulse is felt
External carotid artery

Page 450
This artery suplies blood to the pharynx, esophagus, larynx, and face
External carotid artery

Page 450
These arteries enter the skull to deliver blood to the brain and eyes
Internal carotid artery

Page 450
Latin: 'great hole') is one of the several oval or circular apertures in the base of the skull (the foramina), through which the medulla oblongata (an extension of the spinal cord) enters and exits the skull vault.
Foramen magnum

Page 450
The vertebral arteries ascend within the transverse foramina of the cervical vertebrae, penetrating the skull at the foramen magnum. Inside the cranium, they fuse to form this large artery which continues along the ventral surface of the brain
Basilar artery

Page 450
The interior carotids and the basilar artery are interconnected in what is called
The cerebral arterial circle
(Circle of Willis)

This is a ring shaped anastomosis that encircles the stalk of the pituitary gland. Due to this the brain can receive blood from either the carotid or the vertebral arteries and the chances for a serious interruption of circulation is reduced.

Page 450
The descending aorta is continuous with the aortic arch. The diaphragm divedes the descending aorta into a supior and inferior called....
Thoracic aorta (superior)
Abdominal aorata (inferior)

Page 451
Near the diapharagm these arteries deliver blood to the muscular diaphragm which separates the thoracic and abdominopelvic cavities
Phrenic arteries

Page 451
These three vessels branching off the anterior wall of the abdominal aorta provide blood to all of the digestive organs whithin the abdominopelvic cavity
1.Celiac trunk
2.Superior mesenteric artery
3.Inferior mesenteric artery

These arteries divide further to supply individual structures within the abdominal cavity.

Page 453
This artery branching off the abdominal aorta into the abdominal cavity divides into three branches supplying blood to the liver, gallbladder, stomach, and spleen.
Celiac trunk

Page 453
This artery branching off the abdominal aorta into the abdominal cavity supplies blood to the pancreas, small intestine, and most of the large intestine
Superior mesenteric artery

Page 453
This artery branching off the abdominal aorta into the abdominal cavity delivers blood to the last portion of the large intestine and rectum
Inferior mesenteric

Page 453
Originating between the superior and inferior mesenteric arteries these become testicular arteries in males and ovarian arteries in females
Gonadal arteries

Page 453
These arteries arise along the lateral surface of the abdominal aorta and travel behind the peritoneal lining to reach the suprarenal glands and kidneys
Suprarenal arteries and renal arteries

Page 453
These arteries begin on the posterior surface of the aorta and supply the spinal cord and the abdominal wall
Lumbar arteries

Page 454
Near the level of vertebra L4, the abdominal aorta divides to form a pair of muscular arteries. These arteries carry blood to the pelvis and lower limbs
Common iliac arteries

Page 454
As the common iliac artery travels along the inner surface of the ilium it divides to form this artery that supplies smaller arteries of the pelvis
Internal iliac artery

Page 454
As the common iliac artery travels along the inner surface of the ilium it divides to form this artery that enters the lower limb
External iliac artery

Page 454
Once in the thigh the external iliac artery branches forming these two arteries...
Femoral and Deep Femoral

Page 454
When it reaches the back of the knee the femoral artery becomes the...
Popliteal artery

Page 454
The popliteal artery almost immediately branchs to form these there arteries
1.Anterior tibial
2.Posterior tibial
3.Fibular

Page 454
At the ankle, the anterior tibial artery becomes the
Dorsalis pedis artery

Page 454
The posterior tibial artery divides in two and along with the dorsal pedis artery conects with two anastomoses. This arrangement produces an arch of viens on the top of the foot and an arch of viens on the bottom of the foot called
Dorsal arch (top of foot)
Planter arch (bottom of foot)

Page 454
This large diameter short vien recieves blood from two regions the head and neck, and the upper limbs, shoulders, and chest
Superior vena cava (SVC)

Page 454
Small veins in the neural tissue of the brain empty into a network of thin walled channels called
Dural sinuses

Page 454
The largest of the dural sinuses located within the fold of the dura mater lying between the cerebral hemisphere
Superior sagittal sinus

Page 454
Most of the blood leaving the brain passes through one of the dural sinuses and leaves the skull through one of these veins
Internal jugular viens

This vien runs parallel to the common carotid artery in the neck.

Page 454
These veins collects blood from the superficial structures of the head and neck.
External jugular veins

Page 456
These veins travel just beneath the skin, and a pulse can sometimes be detected at the base of the neck. This pulse is called
Jugular venous pulse (JVP)

Page 456
These veins drain the cervical spinal cord and the posterior surface of the skull, descending within the transverse foramina of the cervical vertebrae alongside the vertebral arteries
Vertebral veins

Page 456
A venous network in the palms collects blood from the digital veins. These vessels drain into these two veins that continue to run up the arm
Cephalic and basilic vein

Page 456
This superficial vien passes from the cephalic vein, medially and a t an oblique angle, to connect to the basilic vein
Median cubital vein

(the medial cubital is the vein from which venous blood samples are typically collected)

Page 456
The deeper veins of the forearm consist of these two veins
Radial and ulnar

Page 456
The radial and ulnar veins fuse after crossing the elbow becoming the
brachial vein

Page 456
As the brachial vein continues toward the trunk, it joins the basilic vein before entering the axilla and becomes the
Axillary vein

Page 456
Click here for a key point
The cephalic vein drains into the axillary vein at the shoulder
The axillary vein then continues into the trunk, at the level of the first rib it becomes the
Subclavian vein

Page 456
After traveling a short distance inside the thoracic cavity, the subclavian meets and merges with the external and internal jugular veins of that side. This fusion creates the large
Brachiocephalic vein
Also known as the innominate vein

Page 456
Near the heart , the two brachiocephalic veins (one on each side of the body) combine to create teh
Superior vena cava

Page 456
The superior vena cava receives blood from the thoracic body wall through the
Azygos vein

Page 456
the large vein that carries de-oxygenated blood from the lower half of the body into the right atrium of the heart. It collects most of the veous blood from organs inferior to the diaphragm
Inferior vena cava

Page 457
Blood leaving the capillaries in the sole of each foot collects inot a network of veins called
Plantar veins

Page 457
Plantar veins supply the
Plantar venous arch

Page 457
The planter network provides blood to these three dep veins of the leg
1.Anterior tibial vein
2.Posterior tibial vein
3.Fibular vein

Page 457
This vein drains blood from capillaries on the superior surface of the foot
Dorsal venous arch

Page 457
The dorsal venous arch is drained by two superficial veins
1.The great saphenous vein
2.The small saphenous vein

Surgeons often use segments of the great saphenous vein, the largest superficial vein, as a bypass vessel during coronary bypass surgery

Page 457
Behind the knee, the small saphenous, tibial, and fibular veins unite to form this vein
The popliteal vein

Page 457
When the popiteal vein reaches the femur it becomes the
Femoral vein

Page 457
Before penetrating the abdominal wall, the great saphenous and this vein join to form the femoral vein.
Deep femoral vein

Page 457
The femoral vein penetrates the body wall and emerges into the pelvic cavity as the
External iliac vein

Page 457
As the external iliac travels across the inner surface of the ilium, it is joined by this vein that drains the pelvic organs
Internal iliac vein

Page 457
The external iliac and internal iliac results in this vein that then meets its counterpart from the opposite side to form the inferior vena cava
The common iliac vein

Page 458
Click here for a key point
In addition, the inferior vena cava receives blood from the gonadal, renal, suprarenal, phrenic, and hepatic veins before reaching the right atrium

Page 458
Instead of traveling directly to the inferior vena cava, blood leaving the capillaries supplied by the celiac, superior, and inferior mesenteric arteries flows to the liver through the
Hepatic portal system

Page 458
A blood vessel connecting two capillary beds is called a
Portal vessel

Page 458
The network formed by the blood vessels that connect two capillary beds is called
A portal system

Page 458
Click here for a key point
In the circulatory system of animals, a portal venous system occurs when a capillary bed drains into another capillary bed through veins. Both capillary beds and the blood vessels that connect them are considered part of the portal venous system.

Page 458
Click here for a key point
Blood in the hepatic portal vessels is quite different in coposition from that in other systemic veins because it contains substances absorbed by the digestive tract, including high concentrations of glucose and amino acids, various wastes, and an occasional toxin.

The hepatic portal system delivers blood containing these compounds to the liver, where liver cells absorb them for storage, metabolic conversion, or excretion.


Page 458
Blood from capilaries along the lower portion of the large intestine enters this vein
The inferior mesenteric vein

Page 459
On their way toward the liver, veins from the spleen, the lateral border of the stomach and the pancreas fuse with the inferior mesenteric forming this vein
The splenic vein

Page 459
This vein also drains the lateral border of the stomach, through an anastomosis with one of the branches of the splenic vein
The superior mesenteric vein

In addition, the superior mesenteric collects blood from the entire small intestine and two-thirds of the large intestine.

Page 459
The fussion of the superior mesenteric and splenic veins form the
Hepatic portal vein

Page 459
The hepatic portal vein recieves blood from these veins that drain the medial border of the stomach and the cystic vein from the gallbladder
Gastric veins

Page 459
This vein travels from the gallbladder to the gastric veins
Cystic vein

Page 459
Click here for a key point
The hepatic portal system ends where the hepatic portal vein empties into the liver capillaries

Page 459
Click here for a key point
After passing through the liver capillaries, blood collects in the hepatic veins, which empty into the inferior vena cava. Because blood goes to the liver before returning to the heart, The composition of the blood in the systemic circulation remains relatively stable, regardless of the digestive activities under way

Page 459
A structure within the uterine wall where the maternal and fetal circulatory systmes are in close contact
Placenta

Page 460
The fetus's blood reaches the placenta through a pair of arteries that arise from the internal iliac arteries before entering the umbilical cord. These arteries are called...
Umbilical arteries

Page 460
Click here for a key point
At the placenta, the blood gives up co2 and wastes and picks up oxygen and nutrients.
Blood returning from the placenta flows through an
umbilical vein

Page 460
Click here for a key point
The umbilical vein reaches the developing liver of the fetus. Some of the blood flows through capillary networks within the liver; the rest bypass the liver capillaries and reaches the inferior vena cava within the ductus venosus

Page 460
Click here for a key point
In the fetus, the ductus venosus shunts a significant majority (80%) of the blood flow of the umbilical vein directly to the inferior vena cava. Thus, it allows oxygenated blood from the placenta to bypass the liver.

When the placental connection is broken at birth, blood flow through the umbilical vessels ceases, and they soon degenerate

Page 461

Page 460
This interatrail opening is associated with an elongate flap that acts as a valve. Blood can flow freely from the right atrium to the left atrium, but any backflow will close the valve and isolate the two chambers. Thus blood can enter the heart at the right atrium and bypass the pulmonary circuit. This interatrial opening is called the
Foramen ovale

Page 461
a shunt connecting the pulmonary artery to the aortic arch. It allows most of the blood from the right ventricle to bypass the fetus' fluid-filled lungs, protecting the lungs from being overworked and allowing the left ventricle to strengthen. There are two other fetal shunts, the ductus venosus and the foramen ovale.
Ductus arteriosus

Over 90 percent of the blood leaving the right ventricle passes through the ductus arteriosus and enters the systemic circuit rather than continuing to the lungs of the fetus (a fetus lungs are in a colapsed state)

Page 461
a shunt connecting the pulmonary artery to the aortic arch. It allows most of the blood from the right ventricle to bypass the fetus' fluid-filled lungs, protecting the lungs from being overworked and allowing the left ventricle to strengthen. There are two other fetal shunts, the ductus venosus and the foramen ovale.
Ductus arteriosus

Page 461