Vasculature and Nerves Flashcards
How many cervical spinal nerves in the dog?
Eight
Where does the first cervical spinal nerve pass through?
Lateral vertebral foramen of the atlas (Transverse foramen in wing of the caudal vertebral body of the atlas)
Where does the eight cervical spinal nerve pass through?
The intervertebral foramen between the 7th cervical vertebra and 1st thoracic vertebra.
Which are larger - dorsal or ventral branches of the spinal nerves?
Ventral
What do dorsal branches of the spinal nerves innervate?
Structures dorsal to the vertebrae.
Where will you find the 2nd cervical nerve?
Between: Mastoid part of the cleidocephalicus Omotransversarius Deep to platysma Dorsal to external jugular vein
What does the 2nd cervical nerve innervate?
Branches into two:
Great auricular nerve: skin of the neck, the ear, and back of the head.
Transverse cervical nerve: Skin of the cranioventral part of the neck
What vessels is the external jugular vein formed by?
Facial components: Linguofacial (ventral) and maxillary (dorsal) veins. Maxillary can be distinguished by mandibular lymph nodes lying on either side.
Brachial components: Omobrachaial (dorsal) and cephalic (ventral) veins
Mandibular salivary gland
Dorsal to the mandibular LNs.
Mandibular lymph nodes
Receive lymph drainage from the cutaneous areas of the head, neck, and thoracic limb
Ventral to the mandibular salivary gland, deep to the cleidocephalicus and omotransversarius.
Where do you find the accessory cranial nerve?
Also called the 11th cranial nerve
Emerges below the sternocephalicus, runs along the dorsal border of the omotransversarius, terminates in the trapezius
What does the accessory cranial nerve innervate?
Only motor nerve of the trapezius. Also supplies: Omotransversarius Cleidocephalicus (mastoid and cervical parts) Sternocephalicus
Third, Fourth, and Fifth cervical spinal nerves
Distributed segmentally to the muscles and skin of the neck
Vagosympathetic nerve trunk
Within the carotid sheath, medial to the common carotid artery.
Medial retropharyngeal lymph node
Lies ventrolateral to the carotid sheath
Opposite the larynx
Branching pattern of the dorsal intercostal arteries
Do not confuse with dorsal branch of the artery
First three dorsal arteries: from branch of the costocervical trunk
Last 9 dorsal arteries: from aorta
Two lateral cutaneous branches (one dorsal, one ventral) that perforate both intercostal muscles
Ventral intercostal arteries
Ventral intercostal artery anastomoses with the dorsal intercostal artery
Perforating branch that perforates just the internal intercostal muscles near the sternum.
Dorsal branch of the arteries of the intercostal space
Supplies the epaxial muscles
Do not confuse with dorsal intercostal arteries.
Ventral branch of the arteries of the intercostal space
Anastomoses with the dorsal intercostal artery.
Veins of the intercostal spaces
Will follow in the same pattern as the arteries of the intercostal spaces.
What do the lateral branches of the dorsal intercostal arteries supply?
Cutaneous structures
Example: thoracic mammae
What do the perforating branches of the ventral intercostal arteries supply?
Cutaneous structures
Example: thoracic mammae
Branching pattern of the intercostal nerves
Dorsal, lateral, and ventral branches
Dorsal: innervates epaxial muscles.
Lateral: Becomes the dorsal lateral cutaneous branch
Ventral: A lateral branch that perforates both intercostal muscles and a ventral cutaneous branch that perforates just the internal intercostal near the sternum.
What are the cranial thoracic mammae supplied by?
Fourth, fifth, and sixth ventral and lateral cutaneous vessels and nerves (from the intercostals)
Branches of the lateral thoracic vessesls (from the axillary vessels)
What are the caudal thoracic mammae supplied by?
Sixth and seventh cutaneous nerves and vessels
Cranial superficial epigastric vessels
What do the intercostal vessels and nerves become after they pass through the intercostals?
Cutaneous vessels and nerves.
Axilla
Armpit.
Bounded by: Pectorals and serattus ventralis.
Contains: brachial plexus
Where do you find the lateral thoracic vessels and nerve?
In the axilla
Between the latissiumus dorsi and deep pectorals
What does the lateral thoracic nerve innervate?
Motor to the cutaneus trunci.
What does the lateral thoracic nerve consist of?
Branches of the 8th cervical and 1st thoracic spinal nerves.
What do the lateral thoracic vessels consist of?
Branches of the axillary artery and vein.
What do the lateral thoracic vessels supply?
Muscle, skin, subcutaneous tissue, and cranial thoracic mama.
Axillary lymph node
Drains the afferent lymph vessels of the thoracic wall and deep structures of the limb.
Dorsal to the deep pectoral
Cranial epigastric artery
Terminal branch of the internal thoracic artery
Emerges from costal arch
Runs caudally on the deep surface of the rectus abdominis
Gives rise to cranial superficial epigastric artery
Cranial superficial epigastric artery
From the cranial epigastric artery
Perforates the rectus abdominis
Runs caudally over external surface of rectus abdominis
Branches terminate in rectus abdominus.
What does the cranial superficial epigastic artery supply?
Skin over the rectus abdominis
Caudal thoracic mammae
Cranial abdominal mammae
Transversus thoracis
Flat muscle on deep ventral surface of costal cartilage 2-8.
Attachments: chostochondral junctions and sternum
Internal thoracic artery
3rd lateral branch off the brachiocephalic artery.
Supplies the phrenic nerve, the thymus, the mediastinal pleurae and the dorsal intercostal spaces.
Branch from the subclavian artery
Runs ventrocaudally through the cranial mediastinum
Anastomoses with ventral intercostal arteries on the medioventral surface of the thoracic cavity.
Terminatees in the musculophrenic and cranial epigastric arteries.
Pleurae
Serous membranes that cover the lungs and line the walls of the thorax.
Visceral pleura
Also called pulmonary pleura
Closely attach to the surfaces of the lungs and separate the two lobes.
Parietal pleura
Attached to the thoracic wall by endothoracic fascia
Three contiguous parts: costal, diaphragmatic, and mediastinal
Costal pleura
Covers inner surface of the ribs and associated intercostal and transverses thoracis muscles.
Diaphragmatic pleura
Covers cranial surface of the diaphragm.
Mediastinal pleura
Covers the sides of the partition between the two pleural cavities
Mediastinum
Two mediastinal pleurae and the space between them
Encloses the heart, lymph nodes, thymus, heart, aorta, trachea, and esophagus, as well as the vagus nerve and other nerves/vessels.
Can be divided into cranial, middle, dorsal, ventral, and caudal parts with the middle covering the heart and the others in relation to the heart.
Pericardial mediastinal pleura
Portion of the mediastinal pleura covering the heart.
Esophageal hiatus
Where the esophagus passes through the diaphragm
Connected by connective tissue, pleura, and peritoneum.
Plica venae cavae
Loose fold of pleura from the right caudal mediastinal portion of the pleural sac.
Surrounds the caudal vena cava.
Root of the lung
Also called the hilus of the lung.
The pleura, bronchi, vessels, and nerves that are all entering into the lung.
Pulmonary ligament
Between the caudal lung lobe and the mediastinum at the level of the esophagus.
Thymus
Bilobed compressed structure in the cranial mediastinum, over the surface of the pericardium when large.
Largest in young animals and atrophies with age.
Musculophrenic artery
Runs caudodorsally in the angle formed by the diaphragm and the lateral thoracic wall.
What artery supplies the thymus?
Internal thoracic artery.
What nerve innervates the trapezius?
Accessory cranial nerve.
Left lung lobes
Two:
Cranial lobe with cranial and caudal parts
Caudal lobe
Right lung lobes
Four: Cranial lobe Middle lobe (most lateral) Caudal lobe Accessory lobe (most medial)
Cardiac notch
On the right lung
Between the cranial and middle lobes of the lung
The fourth and fifth intercostal space
Principal bronchi
Bifurcation of the trachea to supply each lung.
Carina
Partition between the principal bronchi in the trachea.
Lobar bronchi
Divisions of the principal bronchi to supply the lobes of the lungs.
What is the clinical significance of the cardiac notch?
Heart is accessible for cardiac puncture here.
Aortic impression on the left lung
Most marked on the accessory lobe.
Tracheobronchial lymph nodes
Located at the bifurcation of the trachea and further down on the bronchi.
Do not confuse with mediastinal lymph nodes.
Where do the pulmonary veins drain? Do they carry oxygenated or deoxygenated blood?
Drain into the left atrium of the heart
Carry oxygenated blood
Pulmonary trunk
Supplies each lung with a pulmonary artery. Right pulmonary artery will be ventral to right principal bronchus.
Cranial vena cava
Drains into the right atrium
Formed by the union of the left and right brachiocephalic veins, and the right azygos vein.
Thoracic inlet
Union of the left and right brachiocephalic veins draining into the cranial vena cava.
Brachiocephalic veins
Formed by external jugular and subclavian veins
Azygos vein
Only the right vein develops in the dog
The last branch entering the cranial vena cava
Winds ventrocranially around the right lung
Collects blood from all of the dorsal intercostal veins as far cranially as the 3rd/4th intercostal space
Thoracic duct
Drainage from: lymphatic capillaries ducts to the venous system left thoracic limb left tracheal trunk Drains into the left brachiocephalic vein
Cisterna chyli
Dilated structure that receives lymph drainage from the abdominal and pelvic viscera and the pelvic limbs.
Caudal to the thoracic duct and the thoracic duct continues from it.
Left tracheal trunk
Lymph drainage from the left side of the head and neck
Drains into the thoracic duct
Right tracheal trunk
Lymph drainage from the right side of the head and neck
Drains into the venous system at the right brachiocephalic vein.
Aorta
Large unpaired vessel from left ventricle
Two main parts:
Cranial aorta (to the diaphragm): Ascending aorta, aortic arch, and descending aorta
Caudal aorta (to the diaphragm
Coronary arteries
Branches of the ascending aorta that supply the heart muscle
Vessels from the ascending aorta
Coronary arteries
Vessels from the aortic arch
Brachiocephalic trunk
Left subclavian artery
Vessels from the descending aorta
8-9 dorsal intercostal arteries (first 3 from the costocervical trunk)
Brachiocephalic trunk
First branch from the aortic arch
Gives rise to left carotid artery and then terminates as the right carotid artery and the right subclavian artery.
Common carotid arteries
Both left and right come from the brachiocephalic trunk
Subclavian arteries
Right comes from the brachiocephalic trunk
Left is the second branch of the aortic arch
Both have similar branching after this point.
Vertebral artery
1st branch off of the subclavian artery
Supplies the cervical muscles and spinal branches spinal cord and its coverings via intervertebral foramina.
Costocervical trunk
2nd branch off the subclavian artery
Supplies the 1st/2nd/3rd intercostal spaces, muscles at the base of the neck, and muscles dorsal to the first few thoracic vertebrae.
Superficial cervical artery
3rd medial branch of the subclavian artery.
Supplies the base of the neck and the scapular region.
Bronchoesophageal artery
Supplies the esophagus
Arises from the 5th intercostal artery
Terminates in the bronchial arteries
Bronchial arteries
Supply the lungs
Phrenic nerves
Arises from the ventral branches of the 5th/6th/poss.7th cervical nerves
Innervate the diaphragm
Have both sensory and motor functions.
Central Nervous System
Brain and spinal cord
Peripheral Nervous System
Anything outside of the CNS
Cranial nerves, spinal nerves, and what they become.
Sensory nerves
Afferent nerves
Always pseudounipolar
Motor nerves
Efferent nerves Somatic efferents (conscious, to skeletal muscle) are pseudounipolar Visceral/autonomic efferents (unconscious, to smooth muscle) parasympathetic (rest and digest) or sympathetic (fight or flight) are multipolar and need two to reach the effector tissue
Ganglion
Gross enlargement of a nerve
Contains neuronal cell bodies
What are groups of neuronal cell bodies within the CNS called?
Nuclei
What are the two autonomic efferent neurons called as they travel to the effector tissue?
Preganglionic and postganglionic neurons.
What is another name for the sympathetic nervous system?
Thoracolumbar system
What is another name for the parasympathetic nervous system?
Craniosacral system
What humoral transmitter substance is released at sympathetic nerve endings?
Norepinephrine
What humoral transmitter substance is released at parasympathetic nerve endings?
Acetylcholine
Where are parasympathetic ganglia typically located?
In the wall of the structure being innervated.
Where are sympathetic ganglia typically located?
A short distance from the spinal cord.
Ventral root of the spinal cord
Efferent neurons
Dorsal root of the spinal cord
Afferent neurons
Spinal nerve
Joining of the ventral and dorsal roots of the spinal cord just at the edge of the vertebra at the level of the intervertebral foramen.
Ramus communicans
Also called the communicating branch
Leaves the ventral branch of the spinal nerve just after it starts
Joins the sympathetic trunk
Like all other nerves, multiple types of nerves. Mostly pre and post ganglionic sympathetic GVEs in these branches but may be others.
Sympathetic trunk ganglion
Peripheral nerve just lateral to the spinal column
A sympathetic trunk ganglion located at each point where a ramus communicants joins with the trunk, with cell bodies of postganglionic sympathetic neruons.
Splanchic nerves
Run through the sympathetic trunk
Form plexuses around the main blood vessels of the abdominal organs
Additional sympathetic ganglion within the plexuses (postganglionic cell bodies of the neurons that formed these nerves located here)
Describe the movement of a pair of sympathetic GVE neurons that innervate smooth muscles, sweat glands, and other strucutures located above the spinal cord.
- Run down the ramus communicans
- Synapse either with the first sympathetic trunk ganglion that they come across or move one or two ganglia cranially or caudally.
- Postganglionic neuron runs back over through the ramus comminicans in the segment where the synapse occurred
- Runs with a spinal nerve to the structures to be innervated.
What verterbrae have spinal nerves that feed into the sympathetic nervous system?
T1 - L4 or L5
Cranial cervical ganglion
Synapses of the preganglionic sympathetic neurons that supply the head.
Cervicothoracic ganglion
Enlargement of the sympathetic trunk lateral to the longus colli at the first intercostal space
Fusion of the caudal cervical ganglion and the first two or three thoracic ganglion.
Brachial plexus
Pathway through the axilla for the postganglionic axons to reach the thoracic limb.
Formed by the ventral branches of the (sometimes 5th)/6th/7th/8th cervical and 1st/2nd thoracic spinal nerves.
These intermix and differently named intermixed nerves leave from the plexus.
Vertebral nerve
From the cervicothoracic ganglion through transverse foramina to the heart and other thoracic structures.
Ansa subclavia
Division of the sympathetic trunk for it to loop around the subclavian artery. Unite at the middle cervical ganglion.
Many nerves leave this to supply the heart.
Middle cervical ganglion
Junction of the nasa and the vagosympathetic trunk. Many nerves leave this to supply the heart.
Cardiac nerves
Numerous
Leave the ansa subclavia and middle cervical ganglion to course to the heart.
Vagosympathetic trunk
Lies in the carotid sheath
Cranial cervical ganglion at its cranial end.
Combines with the vagus nerve (tenth cranial nerve).
Left and right recurrent laryngeal nerves
Left curves around the arch of the aorta
Right curves around the right subclavian artery
Both then run up the trachea and supply the larynx
Innervate the heart, esophagus, and trachea.
Longest peripheral nerves in the body, so early peripheral neuropathy is typically seen with trouble barking or swallowing.
Caudal laryngeal nerve
Termination of the recurrent laryngeal nerves in the larynx.
Ventral vagal trunk
Cranial termination of the dorsal and ventral vagus nerves on the esophagus, cranial to the heart.
Dorsal vagal trunk
Caudal termination of the dorsal and ventral vagus nerves dorsal to the esophagus near the diaphragm.
Dorsal and ventral vagus nerves
Division of each vagus nerve near the base of the heart.
Pericardium
Fibroserous covering of the heart Three layers: Outer: Pericardial mediastinal pleura Fibrous pericardium Inner: Parietal serous pericardium
Serous pericardium
Two layers
parietal layer - adheres to the fibrous pericardium (forms part of the pericardium)
visceral layer - adheres to the heart (considered part of the heart)
Pericardial cavity
Contains pericardial fluid between the parietal serous pericardium and visceral serous pericardium.
Phrenicopericardial ligament
Continuation of the fibrous pericardium to the sternum and the diaphragm.
Usually associated with adipose tissue.
Located in the ventral mediastinum.
Epicardium
Another name for visceral serous pericardium.
Auricular surface of the heart
Left side of the heart, can see both auricles from this side.
Atrial surface of the heart
Right side of the heart. Can generally only see the right auricle here.
Dorsal surface of the heart
Attachments of the great vessels
Apex of the heart
Ventrocaudal and slightly to the left in most hearts, part of the left ventricle.
Coronary Groove
Separates the ventricles from the atria on the atrial side of the heart.
Interventricular grooves
Paraconal interventraicular groove (auricular surface, oblique)
Subsinuosal interventricular groove (atrial surface)
Cranial surface of the heart
Right ventricle covers the left ventricle here.
Parts of the right atrium
Sinus venarum (main) right auricle
How many openings into the right atrium? What are they?
Four.
- Caudal vena cava
- Coronary sinus
- Cranial vena cava
- Right atrioventricular orifice (holds the valve)
Interatrial septum
Medial wall of the heart separating the left and right atria.
Intervenous tubercle
Transverse ridge between the two caval openings in the right atrium
Serves to channel blood towards the right atrioventricular orifice.
Fossa ovalis
Slitlike depression caudal to the intervenous tubercle
Formed the foramen ovale between the right and left atria in the fetus (no need to send blood to the lungs)
Pectinate muscles
Interlacing muscular bands in the auricles and atria
Endocardium
Grossly: glistening surface on the inner surface of the heat
Microscopically: Simple squamous epithelium lining the inner part of the vessel.
Crista terminalis
Thick, semilunar smooth portion of the right atria at the entrance into the auricle. Pectinate muscles radiate from this band.
Pulmonary trunk
Leaves the right ventricle at the conus arteriosus to continue to the lungs.
At the left craniodorsal aspect of the heart.
Will then bifurcate into the left and the right pulmonary arteries.
Atrioventricular valve
Right and left
Both have two cusps, a septal and a parietal cusp.
Subsidiary leaflets found at the end of both cusps in the left and just the septal cusp in the right.
Chordae tendineae
Connect the cusps of the atrioventricular valves with the walls of the ventricles via the papillary muscles.
Papillary muscles
Conical muscle projections in the ventricles
Usually three or four
Attachments for the chordae tendineae.
Trabeculae carnae
Muscular irregularities of the interior of the ventricular walls.
More numerous in the right ventricle than in the left.
Trabecula septomarginalis
Muscular strand extending across the lumen of the right ventricle from the septal to the parietal wall, also anchored by a papillary muscle.
Pulmonary valve
Between the conus arteriosus and the pulmonary trunk
three semilunar cusps, each with a small fibrous nodule in the middle of them.
Valve of the foramen ovale
Remnant of the foramen oval
In the left atrium, directly across from the fossa ovalis in the right atrium.
ligamentum arteriosum
Fibrous connection between the pulmonary trunk and the aorta
Remnant of the patent ductus arteriosus to bypass the lungs in the fetus (funneled blood straight into the aorta).
Aortic valve
Between the left ventricle and the aorta.
Three semilunar cusps with fibrous nodules like the pulmonary valve.
Sinus of the aorta
Slight expansion of the aorta just cranial to the aortic valve.
Right coronary artery
Leaves the right sinus of the aorta.
Passes through coronary groove and often part of the subsinuosal interventricular groove.
Left coronary artery
Twice as large as the right coronary artery.
Leaves the left sinus of the aorta.
Two branches: circumflex branch and paraconal inter ventricular branch.
Circumflex branch of the left coronary artery
Passes through the subsinuosal interventricular groove and in the coronary sulcus.
Paraconal interventricular branch of the left coronary artery.
Passes through the paraconal interventricular groove.
Sends large rami over the surface of the left ventricle.
Septal branch that runs into the interventricular septum and supplies this.
Coronary sinus
Dilated terminal end of the great cardiac vein.
Great cardiac vein
Drains the coronary vessels back to the heart.
Starts in the paraconal interventricular sulcus.
Subclavian artery branches
- Vertebral artery
- Costocervical artey
- Internal thoracic artery and superficial cervical artery
- Continues as the axillary artery
What does the superficial cervical artery supply?
Superficial muscles of the base of the neck, superficial cervical lymph nodes, and the muscles of the scapula and shoulder.
What is the function of the superficial cervical lymph nodes?
Drain the afferent lymph vessels from the superficial part of the neck, caudal surface of the head, ear, and pharynx, and the thoracic limb.
What are the branches off the axillary artery?
External thoracic artery
Lateral thoracic artery
Subscapular artery
Cranial circumflex artery
What are the nerves that come out of the brachial plexus?
Suprascapular nerve Subscapular nerve Axillary nerve Musculocutaneous nerve Radial nerve Median nerve Ulnar nerve Thoracodorsal nerve Lateral thoracic nerve Pectoral nerve
External thoracic artery
1st branch off the axillary artery.
(normal variation: may be off the same trunk as the lateral thoracic artery or superficial cervical artery)
Supplies the superficial pectorals.
Lateral thoracic artery
2nd branch off the axillary artery.
(normal variation: may be distal to the subscapular artery).
Supplies the latissimus dorsi, deep pectorals, cutaneus trunk, and thoracic mammae.
Subscapular artery
3rd branch off the axillary artery. Three branches: Thoracodorsal artery Caudal circumflex humeral artery Continuation of the subscapular artery (supplies the scapula).
Cranial circumflex artery
4th branch off the axillary artery.
(normal variation: may be distal or proximal to the subscapular artery).
Supplies the biceps brachia and the joint capsule of the shoulder
Thoracodorsal artery
Supplies the trees major and latissimus dorsi
Caudal circumflex humeral artery
Wraps around the cranial side of the humerus (can be seen under the deltoideus on the lateral side).
Supplies the triceps, deltoids, coracobrachialis, infraspinatus, and shoulder joint capsule.
Brachial artery
Continuation of the axillary artery over the humerus. Terminates in the median artery after the branch off of the common interosseous artery. Branches into: Collateral ulnar artery Superficial brachial artery Transverse cubital artery Common interosseous artery
Collateral ulnar artery
1st branch off the brachial artery (across from a smaller bicipital artery)
Supplies the triceps, ulnar nerve, and the elbow
Superficial brachial artery
2nd branch off the brachial artery
More distally will anastomose with the cranial superficial antebrachial artery.
Supplies the dorsum of the forepaw
Transverse cubital artery
3rd branch off the brachial artery.
Supplies the elbow.
Cranial pectoral nerves
Derived from branches of the 6th/7th/8th cervical spinal nerves
Innervate superficial pectoral muscle.
Suprascapular nerve
Derived from 6th/7th cervical spinal nerves (Brachial plexus)
Passes directly across the scapular notch and so very susceptible to injury (sweeny in horses)
Innervates supraspinatus and infraspinatus
Subscapular nerve
Derived from 6th/7th cervical spinal nerves (Brachial plexus)
Innervates the subscapularis
Musculocutaneous nerve
Derived from 6th/7th/8th cervical spinal nerves (Brachial plexus)
Innervates coracobrachialis, biceps brachii, brachialis.
A branch off the musculocutaneous joins with the median nerve.
Axillary nerve
Derived from 7th/8th cervical spinal nerves (Brachial plexus)
Innervates
Thoracodorsal nerve
Derived from 8th cervical spinal nerve (Brachial plexus)
Innervates the latissimus dorsi
Radial nerve
Derived from 7th/8th cervical and 1st/2nd thoracic spinal nerves (Brachial plexus)
Innervates all the extensor muscles of the elbow, carpal, phalangeal joints, triceps, tensor fasciae antebrachii, and anconeus.
Terminates as a deep and superficial branch.
Median nerve
Derived from 8th cervical and 1st/2nd thoracic spinal nerves. (Brachial plexus) Common trunk with the ulnar nerve.
Receives a branch from the musculocutaneous nerve.
Innervates most of the muscles of the forearm and skin of the palmar surface of the paw -
Pronator teres
Pronator quadratus
Flexor carpi radialis
Superficial digital flexor
Parts of deep digital flexor
Ulnar nerve
Derived from 8th cervical and 1st/2nd thoracic spinal nerves (Brachial plexus) Common trunk with the median nerve.
Innervates the skin of the distal medial aspect of the brachium and the caudal aspect of the antebrachium -
Flexor carpi ulnaris
Parts of deep digital flexor
Caudal pectoral nerves
Derived from 8th cervical and 1st and 2nd thoracic spinal nerves.
Innervates the deep pectoral muscle.
Lateral thoracic nerve
Derived from from 8th cervical and 1st thoracic spinal nerves. (Brachial plexus)
Innervates the cutaneus trunci.
Cephalic vein
Begins on palmar surface of paw and runs over the cranial surface of the antebrachium.
Enters the external jugular vein near the thoracic inlet.
Accessory cephalic vein
Arises from small veins on the dorsum of the paw and joins the cephalic on the distal third of the antebrachium.
Median cubital vein
Forms connection between the cephalic and brachial veins over the flexor surface of the elbow.
Axillobrachial vein
Leaves the cephalic vein at the middle of the antebrachium.
Joins the axillary vein near the deltoideus.
Omobrachial vein
Arises from the axillobrachial vein and enters the external jugular vein cranial to the cephalic vein.
Median artery
Termination of the brachial artery after the branch of the common interosseous artery. Runs with the median vein.
Extends to the superficial palmar arch in the paw.
Branches:
Deep antebrachial artery
Radial artery
Common interosseous artery
Short branch off the brachial artery. Branches into: Ulnar artery Caudal interosseous artery Cranial interosseous artery
Ulnar artery
Courses caudally from the common interosseous artery and continues with the ulnar nerve.
Supplies the ulnar and humeral heads of the deep digital flexor and flexor carpi ulnaris.
Caudal interosseous artery
Course distally from the common interosseous artery between the radius and ulna under the pronator quadratus.
Supplies many structures around the radius and ulna with small branches then joins with radial and median arteries to supply the palmar surface of the forepaw.
Cranial interosseous artery
Third branch off of the common interosseous artery, difficult to visualize.
Superficial palmar arch
Formed by the anastomosis of the median artery and caudal interosseous artery.
Gives rise to the palmar common digital arteries that supply the palmar surface of the forepaw.
Radial artery
Arises from the median artery in the middle of the leg and follows medial border of the radius.
Deep antebrachial artery
Caudal branch of the median artery just under the common interosseous artery.
Supplies the flexor carpi radialis, deep digital flexor, flexor carpi ulnaris, and superficial digital flexor.
Radial nerve
Supplies the extensors of the elbow, carpus, and digital joints.
Divides into superficial and deep branches, superficial divides again to medial, lateral, and lateral cutaneous branches.
Deep branch of the radial nerve
Courses with the brachial into the forearm.
Innervates the extensor carpi radialis, common digital extensor, supinator, lateral digital extensor, the abductor digiti I longus, and the ulnaris lateralis.