vascular histology

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  • 8/13/2019 Vascular Histology

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    Vascular includes both blood and lymphatic systems.

    Arteries are efferent vessels (going away) which become smaller as they branch and carry blood to the

    tissues.Capillaries are the smallest blood vessels which serve as the interchange between blood and tissues

    Veins are afferent vessels which become larger as they approach and return blood to the heart

    Veins

    Venule --> medium sized vein --> large vein

    Arteries

    Arteriole --> muscular artery --> elastic artery

    Heart

    Internal endocardium

    Middle myocardium (cardiac muscle)

    External epicardium

    On a microscopic level, the heart consists of three layers (tunics):

    Endocardium

    The first layer (in contact with the lumen). There is a thin layer of endothelial cells. These are supported

    by connective tissue with both elastin and collagen (strength).

    Connecting the endocardial CT to the myocardial tissue is the subendocardial layer which contains veins,

    nerves and perkinje fibres

    MyocardiumIt is the thickest layer of the heart and is also known as cardiac muscle. It is comprised of cardiac muscle

    cells arranged in layers. In between the muscle fibres there are both a rich supply of capillaries and also

    delicate supporting connective tissue.

    Vascular

    Histology

    Striations

    Centrally located nucleus (single nuclei)

    Branching

    Intercalated discs (squiggly line): highly specialised attachment

    which joins cardiac cells together and allows them to contract

    rapidly as a single unit

    Vascular HistologyWednesday, 28 March 2012

    3:06 PM

    Case Based Learning Page 1

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    Connective Tissue

    Epicardium

    The heart is covered externally by a simple squamous epithelium (mesothelium, secretes pericardialfluid) which is supported by CT known as epicardium. The 'epicardium' is also the visceral layer of the

    epicardium.

    Pericardium

    It encloses the heart and holds it in place: outer fibrous and inter serous pericardium

    The outer fibrous pericardium is a dense irregular CT which protects and anchors the heart, enabling it

    to beat effectively (prevents overstretching). The serous pericardium consists of a parietal (outer) layer,

    pericardial cavity with pericardial fluid and a visceral layer (epicardium).

    Tissues of the Vascular Wall

    Maintenance of selectively permeability barrier

    Maintenance of nonthrombogenic barrier (prevents clotting)

    Modulation of blood flow

    Regulation and modulation of immune responses (enables white blood cells to migrate out

    of the blood vessel)

    Hormonal synthesis & other metabolic activities

    Modification of lipoproteins

    Simple squamous endothelium

    Involuntary control

    Smooth muscle

    Larger blood vessels have 3 basic structural components:

    Case Based Learning Page 2

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    Occurs in walls of all vessels larger than capillaries

    Arranged helically in layers (wrapped around in concentric layers)

    Components vary based on local environments (dependant on function)

    Connective tissue

    Intima

    Has a subendothilial layer with loose CT and a few smooth muscle cells. Has holes to enable substances

    to nourish cells in vessel

    Media

    Concentric layers of smooth muscle cells interspersed with elastic fibres. Arteries

    Adventitia

    Vaso Vasorum

    They are vessels within the walls of vessels which allow perfusion of blood to the cells of the vessel.

    More in veins than arteries because veins carry deoxygenated blood. Supply adventitia and outer media.

    Elastic Arteries

    Large diameter vessels with very thick walls. Generally found closer to the heart (high pressure). Insteadof having large amounts of smooth muscle cells the media is high in elastin content (concentric elastic

    laminae). It is able to stretch during systole and recoil during diastole, reduces the fluctuations in BP.

    Many vaso varosum in adventitia

    Tunica intima, epithelium and CT; lining of BV

    Tunica media; smooth muscle; varies diameter of BV lumen (blood pressure)

    Tunica Adventitia; Dence CT; tough protective outer coating of BV

    Case Based Learning Page 3

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    Venules

    Contain endothelial cells with basement membrane and also a few

    smooth muscle cells

    As the diameter of the venule increases, the amount of smooth

    muscle increases

    They drain the capillary network.

    Small Veins

    The smooth muscle cells form a more continuous layer and eventually a adventitia composed of

    collagenous CT is developed.

    Intima is a thin endothelium with little CT

    Media has less muscle cells (than arteries) and if patchy in arrangement

    No internal of external elastic laminae

    Adventitia is the predominant layer

    Larger Veins