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Structure of the blood vessels 
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artery 
vein 
lumen 
tunica intima 
tunica media 
tunica adventitia 
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TS Artery 
lumen 
tunica intima 
tunica media 
tunica adventitia 
endothelium lining 
muscle layer 
with elastic 
fibres 
connective tissue 
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Artery with thick muscle layer 
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Layers of the wall of an artery 
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Comparison of artery and vein 
artery 
vein 
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Artery 
Relatively small lumen Thick muscle layer 
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Vein 
Relatively large lumen Thin muscle layer 
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Artery and vein compared 
Vein Artery 
Semi-lunar pocket valve 
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Words to use to complete the sheet describing the structure of arteries and veins 
(some words may be used once, some more than once and some not at all) 
High 
Low 
Present 
Absent 
Thin 
Thick 
Squeeze 
Narrow 
Backflow 
Large 
Small 
Friction 
Smooth 
Elastic 
Fibres 
Muscles 
Anchors the vessels in the tissues 
And helps to maintain the blood flow 
Also prevents over-expansion to maintain the pressure 
By controlling the diameter 
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Describe, and account for, the similarities and 
differences in the structure of arteries and veins. 
To be done in continuous prose 
(no tables, no bullet points) 
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Capillaries 
Capillary networks in tissues 
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Capillaries 
Capillary endothelial cell Red blood cell 
Capillary wall is one cell thick Very small lumen 
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Checkpoint 1.2. How the structure of an 
artery, a vein and a capillary is related to the 
function of the vessel. 
• Refer to Fig 1.10 B 
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Artery. 
Outer layer of connective 
tissue with fibres of collagen 
(a strong fibrous protein) 
makes the outer wall tough to 
prevent over-stretching and to 
protect against the pressure 
exerted by other organs 
rubbing against it. 
Thick walls containing lots of elastic fibres (made from a protein called 
elastin) and smooth muscle cells. 
•Elastic fibres allow walls to stretch when blood pumped at high speed and 
high pressure into arteries by contraction of ventricles; elastic recoil when the 
pressure drops as the ventricles relax pushes the blood forward to maintain 
the flow and the pressure. 
•The smooth muscles contract to control how far the artery stretches and so 
controls the diameter of the artery, which also maintains the pressure. (NB. 
The muscles do not contract to pump the blood in the arteries!) 
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The narrow lumen 
helps maintain the blood 
at higher pressure. 
No valves 
because forward blood flow is 
maintained by the heart and 
elastic recoil of the arteries. 
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Vein 
Outer layer of connective 
tissue with fibres of collagen 
(a strong fibrous protein) 
makes the outer wall 
tough to prevent over-stretching 
and to protect 
against the pressure 
exerted by other organs 
rubbing against it. 
Thin walls with few elastic fibres and smooth muscle. 
Blood flows slowly under low pressure; there is no 
pulse so the walls do not need to stretch and recoil. 
Wide lumen. 
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Distribution of blood in the circulatory system 
• Heart 3% 
• Pulmonary circulation to lungs 10% 
• Systemic circulation 87% 
• Arteries 17% 
• Capillaries 5% 
• Veins 65% 
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Has pocket valves that prevent the backflow of blood. 
Blood in the vein is pushed forward by the increase in pressure 
produced by the contraction of the nearby skeletal muscles which 
the vein run through. 
When the muscles relax and stop pressing the pressure 
drops and the valves prevent the blood flowing 
backwards. Brought to you by
Capillaries 
Very narrow 
Lie close to all cells in the body 
Capillary endothelial cell Red blood cell 
Capillary wall is one cell thick Very small lumen 
Narrow diameter slows down blood flow 
to allow time for exchange between blood and surrounding cells to take 
place more efficiently 
Thin walls only one cell thick 
to ensure maximum rate of transfer between blood and 
surrounding tissue fluid 
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Atherosclerosis. Light micrograph of a cross section through an artery 
with mild atheroma. The artery wall is pink. The formation of a fatty 
plaque or atheroma (grey, centre) has greatly narrowed the size of the 
artery lumen (white, centre). This causes a considerable reduction in 
blood flow. When this occurs in the arteries leading to the heart 
symptoms of angina pectoris (gripping pains in the chest) are 
frequently experienced. In severe cases heart attacks or strokes may 
occur. Atherosclerosis is principally caused by high fat diets, cigarette 
smoking, obesity and inactivity 
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Atheroma & thrombus. 
Coloured light micrograph of a 
section through an artery almost 
completely blocked by 
atherosclerosis and a thrombus. 
The large red mass in the centre 
is a thrombus, an abnormal blood 
clot. This is attached to a part of 
the arterial wall that has 
thickened with atheroma (yellow-red), 
a fatty deposit containing 
fibrous tissue, dead cells & 
cholesterol. Atherosclerosis is the 
biggest cause of death in the UK. 
It causes progressive narrowing 
of the arteries by deposits of 
atheroma, and encourages the 
formation of abnormal clots that 
can block arteries. Fatal 
complications of atherosclerosis 
include heart attack and Brought to you by
Atherosclerosis. Light 
micrograph of a cross section 
through an artery obstructed 
with an atheroma plaque. The 
artery (at upper left) has a 
central lumen (black), where 
blood flows. Bordering the 
lumen is a fibrous and fatty 
deposit of a plaque on the 
arterial wall. This can be seen 
as a dark grainy irregular 
deposit on the inner wall. 
Surrounding the plaque is the 
dark artery wall muscle with an 
inner layer of lighter 
endothelium. Atherosclerosis, 
the thickening of the artery 
walls, is mainly due to a fatty 
diet high in cholesterol. This can 
result in clot formation or 
severe artery blockage which 
may lead to heart attack. 
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Atheroma. Cutaway illustration of 
the inside of a human artery showing 
fatty plaques of atheroma. The artery 
has three distinct layers. The tunica 
adventitia (outer layer) is fibroelastic 
and the tunica media (middle layer) 
is muscular. The inner layer, the 
tunica intima, is composed of a layer 
of endothelial cells (large, orange) 
supported by connective tissue. 
Atheroma (green and yellow, centre 
right) is a mixture of low- density 
lipoproteins, decaying muscle cells, 
fibrous tissue, blood platelets and 
cholesterol. It has narrowed the 
artery and caused thinning and 
damage to the endothelial layer 
(atherosclerosis). 
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Heart disease. Coloured 3-D computed tomography (CT) scan of the heart of sixty 
year old patient with heart disease. The left coronary artery (pink) is on the top of the 
heart, and it supplies the heart with oxygenated blood. The left hand branch is the 
anterior interventricular artery, which has become narrowed near the top (highlighted 
area). Stenosis, or narrowing, of arteries leads to reduced blood flow to the areas 
served by the artery. If the artery becomes completely blocked these areas die, 
causing myocardial infarction, or heart attack. Risk factors for stenosis include 
obesity, smoking, diabetes and a family history of the condition. 
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Coloured angiogram taken 
during a percutaneous 
transluminal coronary 
angioplasty (PTCA) to the 
right coronary artery. It is 
done to treat a severe 
stenosis (narrowing, 
upper centre left) caused 
by plaques of atheroma 
lining the inside of the 
artery; the blood flow is 
also impaired by a clot 
seen in the same area 
just below the stenosis 
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Heart disease. Coloured 3-D computed tomography (CT) scan of the heart of sixty 
year old patient with heart disease. The left coronary artery (pink) is on the top of the 
heart, and it supplies the heart with oxygenated blood. The left hand branch is the 
anterior interventricular artery, which has become narrowed near the top (highlighted 
area). Stenosis, or narrowing, of arteries leads to reduced blood flow to the areas 
served by the artery. If the artery becomes completely blocked these areas die, 
causing myocardial infarction, or heart attack. Risk factors for stenosis include obesity, 
smoking, diabetes and a family history of the condition. 
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Heart disease. Coloured angiogram (X-ray) of the coronary (heart) arteries of a 
patient with heart disease. Coronary arteries (orange) supply the heart muscle with 
oxygenated blood. Stenosis (narrowing) of the blood vessels is seen at left. Stenosis is 
usually due to atherosclerosis, where fatty deposits of atheroma form on the inner 
walls of arteries. It may also be due to abnormal blood clots (thrombi) blocking part of 
an artery. Lack of blood to the heart muscle causes angina (severe chest pain) and can 
lead to a heart attack (death of part of the heart muscle). Atherosclerosis is usually 
caused by a high-cholesterol diet, but smoking and inactivity are also risk factors. 
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Heart bypass grafts. Artwork of a heart that has had a blockage of the coronary 
arteries treated by coronary artery bypass graft (CABG) surgery. The coronary arteries 
are the small blood vessels seen running over the outer surface of the heart. They 
supply oxygenated blood to keep the heart muscle pumping, and a blockage can cause 
a fatal heart attack. The solution is to harvest arteries from elsewhere in the body and 
use them to bypass the blockage. Three grafts are seen running from the aorta, the 
main body artery, back to the coronary arteries, secured by sutures (black). Three 
grafts makes this a triple bypass operation, indicating an advanced state of heart 
disease. Brought to you by
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Blood vessels

  • 1. Structure of the blood vessels Brought to you by
  • 8. artery vein lumen tunica intima tunica media tunica adventitia Brought to you by
  • 10. TS Artery lumen tunica intima tunica media tunica adventitia endothelium lining muscle layer with elastic fibres connective tissue Brought to you by
  • 11. Artery with thick muscle layer Brought to you by
  • 13. Layers of the wall of an artery Brought to you by
  • 17. Comparison of artery and vein artery vein Brought to you by
  • 18. Artery Relatively small lumen Thick muscle layer Brought to you by
  • 19. Vein Relatively large lumen Thin muscle layer Brought to you by
  • 20. Artery and vein compared Vein Artery Semi-lunar pocket valve Brought to you by
  • 22. Words to use to complete the sheet describing the structure of arteries and veins (some words may be used once, some more than once and some not at all) High Low Present Absent Thin Thick Squeeze Narrow Backflow Large Small Friction Smooth Elastic Fibres Muscles Anchors the vessels in the tissues And helps to maintain the blood flow Also prevents over-expansion to maintain the pressure By controlling the diameter Brought to you by
  • 23. Describe, and account for, the similarities and differences in the structure of arteries and veins. To be done in continuous prose (no tables, no bullet points) Brought to you by
  • 26. Capillaries Capillary networks in tissues Brought to you by
  • 27. Capillaries Capillary endothelial cell Red blood cell Capillary wall is one cell thick Very small lumen Brought to you by
  • 31. Checkpoint 1.2. How the structure of an artery, a vein and a capillary is related to the function of the vessel. • Refer to Fig 1.10 B Brought to you by
  • 32. Artery. Outer layer of connective tissue with fibres of collagen (a strong fibrous protein) makes the outer wall tough to prevent over-stretching and to protect against the pressure exerted by other organs rubbing against it. Thick walls containing lots of elastic fibres (made from a protein called elastin) and smooth muscle cells. •Elastic fibres allow walls to stretch when blood pumped at high speed and high pressure into arteries by contraction of ventricles; elastic recoil when the pressure drops as the ventricles relax pushes the blood forward to maintain the flow and the pressure. •The smooth muscles contract to control how far the artery stretches and so controls the diameter of the artery, which also maintains the pressure. (NB. The muscles do not contract to pump the blood in the arteries!) Brought to you by
  • 33. The narrow lumen helps maintain the blood at higher pressure. No valves because forward blood flow is maintained by the heart and elastic recoil of the arteries. Brought to you by
  • 34. Vein Outer layer of connective tissue with fibres of collagen (a strong fibrous protein) makes the outer wall tough to prevent over-stretching and to protect against the pressure exerted by other organs rubbing against it. Thin walls with few elastic fibres and smooth muscle. Blood flows slowly under low pressure; there is no pulse so the walls do not need to stretch and recoil. Wide lumen. Brought to you by
  • 35. Distribution of blood in the circulatory system • Heart 3% • Pulmonary circulation to lungs 10% • Systemic circulation 87% • Arteries 17% • Capillaries 5% • Veins 65% Brought to you by
  • 36. Has pocket valves that prevent the backflow of blood. Blood in the vein is pushed forward by the increase in pressure produced by the contraction of the nearby skeletal muscles which the vein run through. When the muscles relax and stop pressing the pressure drops and the valves prevent the blood flowing backwards. Brought to you by
  • 37. Capillaries Very narrow Lie close to all cells in the body Capillary endothelial cell Red blood cell Capillary wall is one cell thick Very small lumen Narrow diameter slows down blood flow to allow time for exchange between blood and surrounding cells to take place more efficiently Thin walls only one cell thick to ensure maximum rate of transfer between blood and surrounding tissue fluid Brought to you by
  • 38. Atherosclerosis. Light micrograph of a cross section through an artery with mild atheroma. The artery wall is pink. The formation of a fatty plaque or atheroma (grey, centre) has greatly narrowed the size of the artery lumen (white, centre). This causes a considerable reduction in blood flow. When this occurs in the arteries leading to the heart symptoms of angina pectoris (gripping pains in the chest) are frequently experienced. In severe cases heart attacks or strokes may occur. Atherosclerosis is principally caused by high fat diets, cigarette smoking, obesity and inactivity Brought to you by
  • 39. Atheroma & thrombus. Coloured light micrograph of a section through an artery almost completely blocked by atherosclerosis and a thrombus. The large red mass in the centre is a thrombus, an abnormal blood clot. This is attached to a part of the arterial wall that has thickened with atheroma (yellow-red), a fatty deposit containing fibrous tissue, dead cells & cholesterol. Atherosclerosis is the biggest cause of death in the UK. It causes progressive narrowing of the arteries by deposits of atheroma, and encourages the formation of abnormal clots that can block arteries. Fatal complications of atherosclerosis include heart attack and Brought to you by
  • 40. Atherosclerosis. Light micrograph of a cross section through an artery obstructed with an atheroma plaque. The artery (at upper left) has a central lumen (black), where blood flows. Bordering the lumen is a fibrous and fatty deposit of a plaque on the arterial wall. This can be seen as a dark grainy irregular deposit on the inner wall. Surrounding the plaque is the dark artery wall muscle with an inner layer of lighter endothelium. Atherosclerosis, the thickening of the artery walls, is mainly due to a fatty diet high in cholesterol. This can result in clot formation or severe artery blockage which may lead to heart attack. Brought to you by
  • 41. Atheroma. Cutaway illustration of the inside of a human artery showing fatty plaques of atheroma. The artery has three distinct layers. The tunica adventitia (outer layer) is fibroelastic and the tunica media (middle layer) is muscular. The inner layer, the tunica intima, is composed of a layer of endothelial cells (large, orange) supported by connective tissue. Atheroma (green and yellow, centre right) is a mixture of low- density lipoproteins, decaying muscle cells, fibrous tissue, blood platelets and cholesterol. It has narrowed the artery and caused thinning and damage to the endothelial layer (atherosclerosis). Brought to you by
  • 42. Heart disease. Coloured 3-D computed tomography (CT) scan of the heart of sixty year old patient with heart disease. The left coronary artery (pink) is on the top of the heart, and it supplies the heart with oxygenated blood. The left hand branch is the anterior interventricular artery, which has become narrowed near the top (highlighted area). Stenosis, or narrowing, of arteries leads to reduced blood flow to the areas served by the artery. If the artery becomes completely blocked these areas die, causing myocardial infarction, or heart attack. Risk factors for stenosis include obesity, smoking, diabetes and a family history of the condition. Brought to you by
  • 43. Coloured angiogram taken during a percutaneous transluminal coronary angioplasty (PTCA) to the right coronary artery. It is done to treat a severe stenosis (narrowing, upper centre left) caused by plaques of atheroma lining the inside of the artery; the blood flow is also impaired by a clot seen in the same area just below the stenosis Brought to you by
  • 44. Heart disease. Coloured 3-D computed tomography (CT) scan of the heart of sixty year old patient with heart disease. The left coronary artery (pink) is on the top of the heart, and it supplies the heart with oxygenated blood. The left hand branch is the anterior interventricular artery, which has become narrowed near the top (highlighted area). Stenosis, or narrowing, of arteries leads to reduced blood flow to the areas served by the artery. If the artery becomes completely blocked these areas die, causing myocardial infarction, or heart attack. Risk factors for stenosis include obesity, smoking, diabetes and a family history of the condition. Brought to you by
  • 45. Heart disease. Coloured angiogram (X-ray) of the coronary (heart) arteries of a patient with heart disease. Coronary arteries (orange) supply the heart muscle with oxygenated blood. Stenosis (narrowing) of the blood vessels is seen at left. Stenosis is usually due to atherosclerosis, where fatty deposits of atheroma form on the inner walls of arteries. It may also be due to abnormal blood clots (thrombi) blocking part of an artery. Lack of blood to the heart muscle causes angina (severe chest pain) and can lead to a heart attack (death of part of the heart muscle). Atherosclerosis is usually caused by a high-cholesterol diet, but smoking and inactivity are also risk factors. Brought to you by
  • 46. Heart bypass grafts. Artwork of a heart that has had a blockage of the coronary arteries treated by coronary artery bypass graft (CABG) surgery. The coronary arteries are the small blood vessels seen running over the outer surface of the heart. They supply oxygenated blood to keep the heart muscle pumping, and a blockage can cause a fatal heart attack. The solution is to harvest arteries from elsewhere in the body and use them to bypass the blockage. Three grafts are seen running from the aorta, the main body artery, back to the coronary arteries, secured by sutures (black). Three grafts makes this a triple bypass operation, indicating an advanced state of heart disease. Brought to you by
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