Aortic arch
Encyclopedia
The arch of the aorta or the transverse aortic arch is the part of the aorta
that begins at the level of the upper border of the second sternocostal articulation of the right side, and runs at first upward, backward, and to the left in front of the trachea
; it is then directed backward on the left side of the trachea
and finally passes downward on the left side of the body of the fourth thoracic vertebra, at the lower border of which it becomes continuous with the descending aorta
.
It thus forms two curvatures: one with its convexity upward, the other with its convexity forward and to the left. Its upper border is usually about 2.5 cm. below the superior border to the manubrium sterni.
It lies within the mediastinum
.
connects the commencement of the left pulmonary artery to the aortic arch.
The blood bypasses the lungs through the ductus arteriosus during embryonic circulation. This becomes the ligamentum arteriosum postnatal as pulmonary circulation begins.
The aortic knob is the prominent shadow of the aortic arch on a frontal chest radiograph.
Aortopexy
is a surgical procedure in which the aortic arch is fixed to the sternum
in order to keep the trachea
open.
Aorta
The aorta is the largest artery in the body, originating from the left ventricle of the heart and extending down to the abdomen, where it branches off into two smaller arteries...
that begins at the level of the upper border of the second sternocostal articulation of the right side, and runs at first upward, backward, and to the left in front of the trachea
Vertebrate trachea
In tetrapod anatomy the trachea, or windpipe, is a tube that connects the pharynx or larynx to the lungs, allowing the passage of air. It is lined with pseudostratified ciliated columnar epithelium cells with goblet cells that produce mucus...
; it is then directed backward on the left side of the trachea
Vertebrate trachea
In tetrapod anatomy the trachea, or windpipe, is a tube that connects the pharynx or larynx to the lungs, allowing the passage of air. It is lined with pseudostratified ciliated columnar epithelium cells with goblet cells that produce mucus...
and finally passes downward on the left side of the body of the fourth thoracic vertebra, at the lower border of which it becomes continuous with the descending aorta
Descending aorta
The descending aorta is part of the aorta, the largest artery in the body. The descending aorta is the part of the aorta beginning at the aortic arch that runs down through the chest and abdomen. The descending aorta is divided into two portions, the thoracic and abdominal, in correspondence with...
.
It thus forms two curvatures: one with its convexity upward, the other with its convexity forward and to the left. Its upper border is usually about 2.5 cm. below the superior border to the manubrium sterni.
It lies within the mediastinum
Mediastinum
The mediastinum is a non-delineated group of structures in the thorax, surrounded by loose connective tissue. It is the central compartment of the thoracic cavity...
.
Related structures
The ligamentum arteriosumLigamentum arteriosum
The ligamentum arteriosum is a small ligament attached to the superior surface of the pulmonary trunk and the inferior surface of the aortic arch...
connects the commencement of the left pulmonary artery to the aortic arch.
The blood bypasses the lungs through the ductus arteriosus during embryonic circulation. This becomes the ligamentum arteriosum postnatal as pulmonary circulation begins.
The aortic knob is the prominent shadow of the aortic arch on a frontal chest radiograph.
Aortopexy
Aortopexy
Aortopexy is a surgical procedure in which the aortic arch is fixated to the sternum. It results in the tracheal lumen being pulled open. It is used to treat severe tracheomalacia or tracheal compression....
is a surgical procedure in which the aortic arch is fixed to the sternum
Sternum
The sternum or breastbone is a long flat bony plate shaped like a capital "T" located anteriorly to the heart in the center of the thorax...
in order to keep the trachea
Vertebrate trachea
In tetrapod anatomy the trachea, or windpipe, is a tube that connects the pharynx or larynx to the lungs, allowing the passage of air. It is lined with pseudostratified ciliated columnar epithelium cells with goblet cells that produce mucus...
open.
External links
- Right Aortic Arch Anatomy Teaching Case from MedPix