General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
1st. All the blood that the trunk of the inferior vena cava receives,
either from the capillary system of the inferior extremities, or from
that of the abdomen, or from the placenta by the umbilical vein,
instead of stopping in the right auricle, as in the adult, passes
entire into the left through the foramen ovale, the superior edge
of which is so arranged, that nothing can mix with the blood of the
superior vena cava; so that when we examine attentively, we see that
it is really with the left auricle that the inferior vena cava is
continued. Hence why this auricle is in proportion as much dilated as
the right; for it would be very contracted, if it had only to receive
the blood of the pulmonary veins, the quantity of which is merely
nothing in the first periods of life. From this auricle the blood
passes to the left ventricle, which transmits it to the aorta, where it
meets the carotids and subclavians, which, by numerous ramifications,
carry it to the capillary system of the head and the superior
extremities.
2d. After having remained in this system, the blood returns by the
different branches of the superior vena cava to the right auricle,
where the superior edge of the foramen ovale prevents it from
communicating with the other blood; from this auricle it passes to the
ventricle, which transmits it to the pulmonary artery, which sends
a small part of it that returns to the left auricle by the veins of
the same name, but transmits almost the whole of it by the ductus
arteriosus to the descending aorta, below the origin of the carotids
and the subclavians, which carry the other blood. This is carried by
the branches and ramifications of the aorta to the capillary system
of the abdomen and inferior extremities; the remainder is afterwards
carried by the umbilical artery and lost in the placenta.
It follows from what we have just said, that notwithstanding the
continuity of the two great sanguineous systems in the fœtus, there is
in the first months after conception, a kind of separation of the blood
they contain; that there is even if we may so say, two systems wholly
different from those which will afterwards exist in a separate manner
in the adult.
The first of these systems has, 1st, for origin all the capillaries
of the abdomen, of the inferior extremities, and even those of the
placenta; 2d, for common trunks, below the inferior vena cava, above
the quadruple branch called the aorta; 3d, for agent of impulse the
left side of the heart; 4th, for termination all the capillaries of
the head and the superior parts. The second commences in these last
capillaries, and is composed, 1st, for its trunks, of the superior vena
cava and the descending aorta; 2d, for its agent of impulse, of the
right side of the heart; 3d, for its termination, of the capillaries of
the inferior parts.
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