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English for doctors. Arteries (most important)

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23. Arteries

Arteries are classified according to their size, the appearance of their tunica media, or their major function.

Large elastic conducting arteries include the aorta and its large branches. Unstained, they appear yellow due to their high content of elastin.

The tunica intima is composed of endothelium and a thin subjacent connective tissue layer. An internal elastic membrane marks the boundary between the intima and media.

The tunica media is extremely thick in large arteries and con sists of circularly organized, fenestrated sheets of elastic tissue with interspersed smooth muscle cells. These cells are responding to producing elastin and other extracellular matrix components. The outermost elastin sheet is considered as the external elastic membrane, which marks the boundary between the media and the tunica adventitia.

The tunica adventitia is a longitudinally oriented collection of collagenous bundles and delicate elastic fibers with associated fibroblasts. Large blood vessels have their own blood supply (vasa vasorum), which consists of small vessels that branch profusely in the walls of larger arteries and veins. Muscular distributing arteries are medium-sized vessels that are characterized by their predominance of circularly arranged smooth muscle cells in the media interspersed with a few elastin components. Up to 40 layers of smooth muscle may occur. Both internal and external elastic limiting membranes are clearly demonstrated. The intima is thinner than that of the large arteries.

Arterioles are the smallest components of the arterial tree. Generally, any artery less than 0,5 mm in diameter is considered to be a small artery or arteriole. A subendothelial layer and the inter nal elastic membrane may be present in the largest of these vessels but are absent in the smaller ones. The media is composed of sev eral smooth muscle cell layers, and the adventitia is poorly devel oped. An external elastic membrane is absent.

new words

endothelium - endothelium

media - medium

arteries - arteries

to be classified - classified

according - accordingly

their - theirs

size - size

appearance - appearance

tunica - shell

major - main

elastic - elastic

conducting - conducting

arteries - arteries

to include - include

aorta - aorta

branches - branches

up to - up to

layers - layers

smooth - smooth

may - can

infima - internal cavity of the artery

Author: Elena Belikova

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