Ligamentum arteriosum

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Arterial bunch
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The middle and posterior mediastina. Left side. (Lig. arteriosum labeled at upper right.)
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Details
From Left pulmonary artery
To Descending aorta
Identifiers
Latin ligamentum arteriosum
TA98 A12.2.01.202
TA2 4092
FMA 13421
Anatomical terminology

The ligamentum arteriosum (arterial ligament), also known as Botallo's ligament, Harvey's ligament, and Botallo's duct, [1] is a small ligament attaching the aorta to the pulmonary artery.[ clarification needed ] It serves no function in adults but is the remnant of the ductus arteriosus formed within three weeks after birth.[ clarification needed ]

Contents

Structure

At the superior end, the ligamentum attaches to the aorta—at the final part of the aortic arch (the isthmus of aorta) or the first part of the descending aorta. [2] On the other, inferior end, the ligamentum is attached to the top of the left pulmonary artery. [3]

The ligamentum arteriosum is closely related to the left recurrent laryngeal nerve, a branch of the left vagus nerve. [4] After splitting from the left vagus nerve, the left recurrent laryngeal loops around the aortic arch behind the ligamentum arteriosum, after which it ascends to the larynx. [4]

Function

In adults, the ligamentum arteriosum has no useful function. It is a vestige of the ductus arteriosus, a temporary fetal structure that shunts blood from the pulmonary arteries to the aorta. This significantly reduces the volume of blood circulating through the lungs, which are inactive in the womb. The ductus arteriosus becomes the ligamentum arteriosum within three weeks of birth, so that deoxygenated blood can be selectively circulated to the lungs for more efficient oxygenation of the blood.

Clinical significance

The ligamentum arteriosum plays a role in major trauma. It fixes the aorta in place during abrupt motions, consequently potentially resulting in a ruptured aorta. Such ruptures are very rare.

If the ductus arteriosus fails to close after birth, a condition known as patent ductus arteriosus can develop. This is a fairly common birth defect. Sufferers may have operations that leave them with no ligamentum arteriosum.

See also

Related Research Articles

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Interrupted aortic arch is a very rare heart defect in which the aorta is not completely developed. There is a gap between the ascending and descending thoracic aorta. In a sense it is the complete form of a coarctation of the aorta. Almost all patients also have other cardiac anomalies, including a ventricular septal defect (VSD), aorto-pulmonary window, and truncus arteriosus. There are three types of interrupted aortic arch, with type B being the most common. Interrupted aortic arch is often associated with DiGeorge syndrome.

<span class="mw-page-title-main">Root of the lung</span> Anatomical structure

The root of the lung is a group of structures that emerge at the hilum of each lung, just above the middle of the mediastinal surface and behind the cardiac impression of the lung. It is nearer to the back than the front. The root of the lung is connected by the structures that form it to the heart and the trachea. The rib cage is separated from the lung by a two-layered membranous coating, the pleura. The hilum is the large triangular depression where the connection between the parietal pleura and the visceral pleura is made, and this marks the meeting point between the mediastinum and the pleural cavities.

Double aortic arch is a relatively rare congenital cardiovascular malformation. DAA is an anomaly of the aortic arch in which two aortic arches form a complete vascular ring that can compress the trachea and/or esophagus. Most commonly there is a larger (dominant) right arch behind and a smaller (hypoplastic) left aortic arch in front of the trachea/esophagus. The two arches join to form the descending aorta which is usually on the left side. In some cases the end of the smaller left aortic arch closes and the vascular tissue becomes a fibrous cord. Although in these cases a complete ring of two patent aortic arches is not present, the term ‘vascular ring’ is the accepted generic term even in these anomalies.

<span class="mw-page-title-main">Aortopulmonary space</span>

The aortopulmonary space is a small space between the aortic arch and the pulmonary artery. It contains the ligamentum arteriosum, the recurrent laryngeal nerve, lymph nodes, and fatty tissue. The space is bounded anteriorly by the ascending aorta, posteriorly by the descending aorta, medially by the left main bronchus, and laterally by mediastinal pleura.

References

  1. Pirie, Egle (February 28, 2022). "Ligamentum arteriosum and ductus arteriosus". Kenhub. Retrieved March 12, 2022.
  2. Monvadi B. Srichai (2007). David P. Naidich; et al. (eds.). Computed tomography and magnetic resonance of the thorax (4th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. p. 100. ISBN   978-0-7817-5765-2.
  3. D. Cheitlin, Melvin; C. Ursell, Philip (2011). "Cardiac Anatomy". In Chatterjee, Kanu (ed.). Cardiology: An Illustrated Textbook. JP Medical Ltd. p. 6. ISBN   978-93-5025-275-8.
  4. 1 2 Goodin, Douglas S. (2014-01-01), Aminoff, Michael J.; Josephson, S. Andrew (eds.), "Chapter 2 - Neurologic Complications of Aortic Disease and Surgery", Aminoff's Neurology and General Medicine (Fifth Edition), Boston: Academic Press, pp. 25–48, doi:10.1016/b978-0-12-407710-2.00002-3, ISBN   978-0-12-407710-2, S2CID   78356226 , retrieved 2020-11-14