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The internal carotid artery continues through the carotid canal of the temporal bone and enters the base of the brain through the carotid foramen where it gives rise to several branches ( [link] and [link] ). One of these branches is the anterior cerebral artery that supplies blood to the frontal lobe of the cerebrum. Another branch, the middle cerebral artery , supplies blood to the temporal and parietal lobes, which are the most common sites of CVAs. The ophthalmic artery , the third major branch, provides blood to the eyes.
The right and left anterior cerebral arteries join together to form an anastomosis called the anterior communicating artery . The initial segments of the anterior cerebral arteries and the anterior communicating artery form the anterior portion of the arterial circle. The posterior portion of the arterial circle is formed by a left and a right posterior communicating artery that branches from the posterior cerebral artery , which arises from the basilar artery. It provides blood to the posterior portion of the cerebrum and brain stem. The basilar artery is an anastomosis that begins at the junction of the two vertebral arteries and sends branches to the cerebellum and brain stem. It flows into the posterior cerebral arteries. [link] summarizes the aortic arch branches, including the major branches supplying the brain.
| Aortic Arch Branches and Brain Circulation | |
|---|---|
| Vessel | Description |
| Brachiocephalic artery | Single vessel located on the right side of the body; the first vessel branching from the aortic arch; gives rise to the right subclavian artery and the right common carotid artery; supplies blood to the head, neck, upper limb, and wall of the thoracic region |
| Subclavian artery | The right subclavian artery arises from the brachiocephalic artery while the left subclavian artery arises from the aortic arch; gives rise to the internal thoracic, vertebral, and thyrocervical arteries; supplies blood to the arms, chest, shoulders, back, and central nervous system |
| Internal thoracic artery | Also called the mammary artery; arises from the subclavian artery; supplies blood to the thymus, pericardium of the heart, and anterior chest wall |
| Vertebral artery | Arises from the subclavian artery and passes through the vertebral foramen through the foramen magnum to the brain; joins with the internal carotid artery to form the arterial circle; supplies blood to the brain and spinal cord |
| Thyrocervical artery | Arises from the subclavian artery; supplies blood to the thyroid, the cervical region, the upper back, and shoulder |
| Common carotid artery | The right common carotid artery arises from the brachiocephalic artery and the left common carotid artery arises from the aortic arch; each gives rise to the external and internal carotid arteries; supplies the respective sides of the head and neck |
| External carotid artery | Arises from the common carotid artery; supplies blood to numerous structures within the face, lower jaw, neck, esophagus, and larynx |
| Internal carotid artery | Arises from the common carotid artery and begins with the carotid sinus; goes through the carotid canal of the temporal bone to the base of the brain; combines with the branches of the vertebral artery, forming the arterial circle; supplies blood to the brain |
| Arterial circle or circle of Willis | An anastomosis located at the base of the brain that ensures continual blood supply; formed from the branches of the internal carotid and vertebral arteries; supplies blood to the brain |
| Anterior cerebral artery | Arises from the internal carotid artery; supplies blood to the frontal lobe of the cerebrum |
| Middle cerebral artery | Another branch of the internal carotid artery; supplies blood to the temporal and parietal lobes of the cerebrum |
| Ophthalmic artery | Branch of the internal carotid artery; supplies blood to the eyes |
| Anterior communicating artery | An anastomosis of the right and left internal carotid arteries; supplies blood to the brain |
| Posterior communicating artery | Branches of the posterior cerebral artery that form part of the posterior portion of the arterial circle; supplies blood to the brain |
| Posterior cerebral artery | Branch of the basilar artery that forms a portion of the posterior segment of the arterial circle of Willis; supplies blood to the posterior portion of the cerebrum and brain stem |
| Basilar artery | Formed from the fusion of the two vertebral arteries; sends branches to the cerebellum, brain stem, and the posterior cerebral arteries; the main blood supply to the brain stem |
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