Vasa recta
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| Artery: Vasa recta | |
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| A nephron, the vasa recta is labelled arteria recta | |
| Latin | arteriolae rectae renis |
| Gray's | subject #253 1224 |
| Source | Arcuate arteries of the kidney, efferent arteriole |
| Branches | Straight venules of kidney, arcuate vein |
| Dorlands / Elsevier | a_62/12156708 |
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- For the intestinal structure, see Vasa recta (intestines)
In the blood supply of the kidney, the vasa recta renis (or straight arteries of kidney, or straight arterioles of kidney) form a series of straight capillaries (recta is from the Latin for "straight") that descend from the cortex into the medulla.
These vessels branch off of the efferent arterioles of juxtamedullary nephrons (those nephrons closest to the medulla), enter the medulla, and surround the loop of Henle.
Histology
On a slide, vasa recta can be distinguished from the tubules of the loop of Henle by the presence of blood.[1]
Function
Each of the vasa recta has a hairpin turn in the medulla and carries blood at a very slow rate, two factors crucial in the maintenance of countercurrent exchange that prevent washout of the concentration gradients established in the renal medulla.[1]
The maintenance of this concentration gradient is one of the components responsible for the kidney's ability to produce concentrated urine.
Nomenclature
According to Terminologia Anatomica[1], the term "vasa recta renis" is an alternate name for "arteriolae rectae renis", and a separate term, venulae rectae renis, is used to identify the venous portion.
However, other sources consider "vasa recta renis" to refer to both the arterial and venous portions.[1]
The "renis" is often omitted, but there do exist two other structures with the same name:
- vasa recta (intestines) (in the ileum and jejunum)[1]
- the straight portion of the seminiferous tubule[1]
Pathology
The slow blood flow in vasa recta makes them a likely place of thrombosis in hypercoagulable states, or erythrocyte sickling in sickle cell disease. Ischemia that results may lead to renal papillary necrosis.
References
External links
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
