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In , the bronchial arteries supply the with , and nutrition. Although there is much variation, there are usually two bronchial that run to the , and one to the , and are a vital part of the respiratory system.


Structure
There are typically two left and one right bronchial arteries.

The left bronchial arteries (superior and inferior) usually arise directly from the .

(2018). 9780323442848, Elsevier.

The single right bronchial artery may arise from one of the following:

  • 1) in typical anatomy, the at a common trunk with the right 3rd posterior intercostal artery (known as the intercostobronchial trunk).
  • 2) the superior bronchial artery on the left side.
  • 3) any number of the right intercostal arteries mostly the third right posterior.


Function
The bronchial arteries supply blood to the bronchi and connective tissue of the lungs. They travel with and branch with the , ending about at the level of the respiratory . They with the branches of the pulmonary arteries, and together, they supply the visceral of the lung in the process.

Note that much of the oxygenated blood supplied by the bronchial arteries is returned via the rather than the . As a consequence, blood returning to the left heart is slightly less oxygenated than blood found at the level of the pulmonary capillary beds.

Each bronchial artery also has a branch that supplies the esophagus.


Comparison with pulmonary arteries
It is easy to confuse the bronchial arteries with the pulmonary arteries, because they both supply the lungs with blood, but there are important differences:

diameter
relatively large
relatively small


Clinical significance
Bronchial artery is considered dilated when its diameter is more than 2 mm. Several causes of bronchial artery dilatations are: congenital heart or lung diseases, obstructions of , and lung inflammation.

The bronchial arteries are typically enlarged and in chronic .

With modern surgical techniques, bronchial heal well without bronchial artery reconnection. Largely for this reason, bronchial artery circulation is usually sacrificed during lung transplants, instead relying on the persistence of a microcirculation (presumably arising from the deoxygenated pulmonary circulation) to provide perfusion to the airways.

of the bronchial artery may mimic . Bronchial artery embolisation (BAE) is catheter insertion into a bronchial artery to treat (coughing blood).

(2019). 9780323544290, Elsevier.
(2008). 9780323048415, Mosby.
Most lung tumors are supplied by the bronchial artery, and they can be treated by chemoembolization (injecting chemotherapy and particles directly into the tumor-feeding artery).

The bronchial arteries and their supply of nutrients to the lungs are also attributed to the observation that an occluded (either ligated or by an embolus) pulmonal artery very rarely results in . The bronchial arteries can maintain a supply of oxygenated blood to lung tissue.


See also


External links

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