Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
The nutrient vessels of the arteries and veins, the vasa vasorum, are
present in all the vessels except those less than one millimeter in
diameter. The vasa vasorum course in the external coat and send
capillaries into the media, supplying the outer portion of the coat and
the externa with nutritive material. The nutrition of the intima and
inner portion of the media is obtained from the blood circulating
through the vessel. Lymphatics and nerves are also present in the middle
and outer layers of the vessels.
Arteries
The structure of the arteries varies notably, depending upon the size of
the vessel. A cross section of the thoracic aorta reveals a dense
network of elastic fibers, occupying practically all of the space
between the single layer of endothelial cells and the loose elastic and
connective tissue network of the outer layer. Smooth muscle fibers are
seen in the middle coat, but, in comparison with the mass of elastic
tissue, they appear to have only a limited function.
In a cross section of the radial artery one sees a wavy outline of
intima, caused by the endothelium following the corrugations of the
elastica. The endothelium is seen as a delicate line, in which a few
nuclei are visible. The media is comparatively thick, and is composed of
muscle cells, arranged in flat bundles, and plates of elastic tissue.
Between the media and the externa the elastic tissue is somewhat
condensed to form the external elastic membrane. The adventitia varies
much in thickness, being better developed in the medium-sized than in
the large arteries. It is composed of fibrous tissue mixed with elastic
fibers.
"Followed toward the capillaries, the coats of the artery gradually
diminish in thickness, the endothelium resting directly upon the
internal elastic membrane so long as the latter persists, and afterward
on the rapidly attenuating media. The elastica becomes progressively
reduced until it entirely disappears from the middle coat, which then
becomes a purely muscular tunic, and, before the capillary is reached,
is reduced to a single layer of muscle cells. In the precapillary
arterioles the muscle no longer forms a continuous layer, but is
represented by groups of fiber cells that partially wrap around the
vessel, and at last are replaced by isolated elements. After the
disappearance of the muscle cells the blood vessel has become a true
capillary. The adventitia shares in the general reduction, and gradually
diminishes in thickness until, in the smallest arteries, it consists of
only a few fibroelastic strands outside the muscle cells." (Piersol's
Anatomy.)
Public-domain text, read in full here on John Shaqi.
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