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The aortic arch is the connection between the ascending and descending aorta, and its central part is formed by the left 4th aortic arch during early development. [12] The ductus arteriosus connects to the lower part of the arch in foetal life. This allows blood from the right ventricle to mostly bypass the pulmonary vessels as they develop.
The first and second arches disappear early. A remnant of the 1st arch forms part of the maxillary artery, [3] a branch of the external carotid artery. The ventral end of the second develops into the ascending pharyngeal artery, and its dorsal end gives origin to the stapedial artery, [3] a vessel which typically atrophies in humans [4] [5] but persists in some mammals.
Aortic dissection (AD) occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. [3] In most cases, this is associated with a sudden onset of agonizing chest or back pain , often described as "tearing" in character.
Between the aortic arch and the pulmonary trunk is a network of autonomic nerve fibers, the cardiac plexus or aortic plexus. The left vagus nerve, which passes anterior to the aortic arch, gives off a major branch, the recurrent laryngeal nerve, which loops under the aortic arch just lateral to the ligamentum arteriosum. It then runs back to ...
The descending aorta begins at the aortic arch and runs down through the chest and abdomen. The descending aorta anatomically consists of two portions or segments, the thoracic and the abdominal aorta, in correspondence with the two great cavities of the trunk in which it is situated.
Toggle Aortic arch subsection. 2.1 brachiocephalic artery. 2.2 left common carotid artery (directly from arch of aorta on left mostly) 2.2.1 internal carotid artery.
Most are located above the aortic arch, [2] while some are located on the posterior side of the aortic arch between it and the pulmonary artery below. [3] They consist of glomus cells and sustentacular cells. [1] Some sources equate the "aortic bodies" and "paraaortic bodies", while other sources explicitly distinguish between the two.
The aortic wall dilatation at the commissural level causes the cusps to effectively shorten and prevent them from converging during systole, which results in aortic valve incompetence. The arch is typically spared from the aneurysmal process, though it may involve the entire ascending aorta. The ectatic aorta may experience dissections.