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Medicine LibreTexts

21.4C: Blood Supply to the Lungs

  • Page ID
  • Pulmonary circulation transports oxygen-depleted blood away from the heart to the lungs and returns oxygenated blood back to the heart.

    Learning Objectives

    • Distinguish between pulmonary and systemic circulation of blood

    Key Points

    • Pulmonary circulation is the portion of the cardiovascular system that carries oxygen-depleted blood to the lungs from the heart, and returns oxygenated (oxygen-rich) blood back to the heart.
    • Systemic circulation is the portion of the cardiovascular system that brings oxygen to the tissues of the body. De-oxygenated blood enters the right atrium. Blood then moves to the right ventricle that pumps blood from the heart to the lungs where it releases carbon dioxide and picks up oxygen.
    • Oxygenated blood leaves the lungs through pulmonary veins, completing the pulmonary cycle. This blood enters the left atrium and is then transferred to the left ventricle, which pumps the newly oxygenated blood back into systemic circulation.
    • The pulmonary arteries carry deoxygenated blood to the lungs, where it releases carbon dioxide and picks up oxygen during respiration.
    • A pulmonary embolism can occur if blood pools in veins of the legs and forms a blood clot due to immobilization. The resulting blood clot can block off the pulmonary artery and cause the alveoli inside the lung to die.

    Key Terms

    • pulmonary embolism: A blockage of the blood supply the lungs by a blood clot.
    • atrium: An upper chamber of the heart that receives blood from the veins and forces it into a ventricle.
    • ventricle: The lower chamber of the heart that receives blood from the atrium and pumps it into the arteries.

    There are two primary types of circulation in the human.

    1. Pulmonary circulation refers to blood supply to the lungs for the purpose of gas exchange.
    2. Systemic circulation refers to blood supply to the rest of the body, for the purpose of supplying oxygen to the tissues.

    Bronchial circulation (by the bronchial arteries) supplies blood to the tissues of the bronchi and the pleura, and is considered part of systemic circulation.

    Pulmonary Circulation

    The right side of the heart deals with pulmonary circulation. At the end of systemic circulation, the veins take blood back to the heart through the vena cava.

    The vena cava fills the right atrium with blood, which then ejects blood into the right ventricle by passing through the tricuspid valve. After blood fills in the right ventricle, it contracts and pumps the blood through the pulmonary valve, and into the pulmonary arteries.

    There are two pulmonary arteries (one for each lung) that bring the deoxygenated blood to the lungs through the hilium. The arteries branch into the capillaries of the alveoli. Capillaries are the thinnest and smallest type of blood vessel, and they supply oxygen to individual tissues everywhere in the human body.

    Gas exchange occurs by passive diffusion in the alveoli, so that dissolved oxygen enters the capillaries, while carbon dioxide leaves pulmonary circulation. The oxygenated blood then leaves the lungs through pulmonary veins (also contained in the hilium), which return the blood to the left side of the heart, completing the cycle of pulmonary circulation.

    This blood then enters and fills inside the left atrium, which pumps it through the mitral valve (also called bicuspid) into the left ventricle. The blood fills inside the left ventricle and is then pumped through the aortic valve into the aorta, which marks the beginning of systemic circulation.

    Systemic circulation and pulmonary circulation form the overall cycle of the circulatory system: transporting oxygen throughout the body.

    This is a diagram of pulmonary circulation. Oxygen-rich blood is shown in red and can be seen moving through the pulmonary veins into the left ventricle and the left atrium. Oxygen-depleted blood is shown in blue, moving through the right ventricle into the right atrium and out to the lungs via the right and left pulmonary arteries.

    Pulmonary circuit: Diagram of pulmonary circulation. Oxygen-rich blood is shown in red; oxygen-depleted blood in blue.

    Problems in Pulmonary Circulation

    While the cycle of pulmonary and systemic circulation is a well designed and effective system, it is not immune to certain problems. The most serious issue in pulmonary circulation is a pulmonary embolism, which is where a blood clot travels to the lung and causes an infarction of the lung (tissue death from lack of oxygen).

    These blood clots typically originate in the deep veins of the legs (part of systemic circulation) as a result of blood pooling from injury or immobilization. As the veins of the leg are on their way to the right side of the heart, the clots are less likely to break up before they reach pulmonary circulation.

    When the clot reaches the pulmonary artery, it obstructs the flow of blood into the lung, which causes the alveoli in the effected lung to die as a result. This results in an increase in aveolar dead space and decreased perfusion, (leading to shortness of breath and chest pain) and can be fatal if not treated in time by fibrinolytics (medications that dissolve the clot).




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