00:01
Let’s move on then and talk about the veins.
00:03
So once the blood has been through the capillaries
giving up its oxygen, taking up carbon dioxide
and waste products, it’s collected into
tiny venules – little tiny veins – that
then coalesce into larger and larger veins.
And then these large veins carry the blood
back to the heart for the entire circulatory
process to start again.
00:27
The veins are blood reservoirs. Interestingly
enough, they hold about 60% of the body’s
blood at rest. They of course drain the capillaries
as I’ve said and return the blood to the
heart.
00:40
These systemic veins are carrying deoxygenated
blood – that is blood that’s given up
its oxygen. And they carry it eventually back
to the collecting chamber – the right atrium
of the heart. They’re usually depicted in
diagrams in blue because deoxygenated blood
is darker in colour than arterial blood which
is more brightly red. And then, as we talked
about before, the blood passes through the
tricuspid valve into the right ventricle and
is pumped out to the lungs where it picks
up oxygen and gives off carbon dioxide. And
then, eventually of course, it returns through
the pulmonary veins to the left atrium and
then across the mitral valve into the left
ventricle and is pumped out of the aorta and
the whole circular process starts again.
01:29
Let’s says a few more things about the veins.
The veins feed the blood back to the heart
and they receive the blood from the very tiny
capillaries. The venules then merge to form
full-sized veins. The walls of the veins are
relatively thin compared to the arteries and
we’ll see some actual microscopic pictures
later in this lecture that show you how much
more muscle there is in the arterial system
than in the venous system.
02:04
A very important component of the venous system
are valves. Just like in the heart, the valves
ensure that the blood keeps travelling in
the right direction. And as we’ll talk about
in a later lecture, when the valves are dysfunctional
in the veins, we can develop varicose veins
and even a situation where blood clots can
form in the veins.
02:28
Here we see diagrams of the veins in the arm.
You’ll notice that there are many veins
and that they’re connected by anastomoses
so that, if one of the branches is closed,
the blood will still be able to leave the
arm. And you can see there’s extensive veins
in the hand and in the forearm and all the
way up into the shoulder. And these veins
coalesce into larger and larger veins and,
just below the shoulder, there’s very large
veins – the basilic vein – that eventually
feeds into the superior vena cava.
03:06
And here we see the veins of the hand. There
are many, many veins in the hand because there
are many small muscles in the hands. The hand’s
a very complex muscular structure and every
muscle has to have a blood supply and then
they have to have veins to drain the blood
from this. And you can see also multiple connections,
multiple anastomoses between all of the veins
of the hand.
03:31
Here we see veins in the leg. There are two
very large veins: a greater saphenous and
a smaller saphenous. The greater saphenous
runs along the medial – or inner – aspect
of the leg and the small saphenous a little
more on the outside of the leg. And you can
see again many anastomoses, many smaller veins
that connect and, eventually, feed the blood
into these two saphenous veins that go up
and give their blood to the femoral vein and
then, eventually, the iliac vein and, eventually,
the inferior vena cava and carry it back to
the right side of the heart.
04:18
Veins have a very important function. And
that is they have to overcome gravity, particularly
the veins in the leg. The veins, as you can
see, are quite distant from the heart because
the blood has already gone through the arterial
system and the capillaries. The blood pressure
is much lower by the time the blood reaches
the veins. And this lower blood pressure in
the veins is considerably lower than in the
arteries. The veins also have to withstand
not only the pressure from the blood coming
to it but also gravity increases the pressure
within the veins. And gravity pulls the blood
down. So that theoretically if there weren’t
valves in the veins, the blood would just
pool in the veins and would pool in the limbs,
particularly the lower limbs. So the veins
are very, very important in that they enable
the blood to continue to move back to the
heart.
05:23
As we’re going to see in the next slide,
veins with their valves enable the body to
overcome the effect of gravity. And here you
see two means by which veins are able to move
the blood back up against gravity and into
the right atrium where it, of course, begins
to be recycled through the heart.
05:49
The first component that keeps the blood moving
in the right direction is the skeletal-muscle
pump. So in fact as I’m standing here talking,
I’m intermittently contracting the muscles
in my legs and this squeezes the veins so
that the blood goes in one direction. And
you can see the valves help the blood to move
only in one direction. If the blood tried
to move back down going with gravity, the
valve closes and the blood can’t go that
way. So the valve keeps the blood moving in
one direction and the muscles squeeze and
push the blood forward in the veins back to
the right atrium. It’s very, very important
that the valves in the veins function well
otherwise blood will pool in the legs and,
eventually, would result in fluid escaping
from the small vessels and the result would
be swelling and oedema of the leg.
06:58
So, again, let’s take the next step and
talk about how blood vessels are structured.