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41 Cards in this Set

  • Front
  • Back
Mediastinum
space in thorax between the L & R lungs
subdivision separated by horizontal plane from sternal angle to intervertebral disc between TIV/TV
Superior Mediastinum
above plane
-contains trachea, part of thymus, aortic arch, brachiocephalic trunk, L common carotid artery, R/L vagus nerves (anterior/posterior to esophagus), etc
Inferior Mediastinum
further divided into:
anterior
middle
posterior
Anterior Mediastinum
in front of heart
-sternum to pericardium
-contains thymus (disappears by age 25)
Middle Mediastinum
contains heart
Posterior Mediastinum
behind the heart
-contains descending aorta, major veins, sympathetic trunk, etc
Heart
conical muscle (surfaces, boders, and sulci)
-made up of 4 chambers that pump blood through pulmonary and systemic systems
Vena Cavae
pass deoxygenated blood from the rest of the body into R atrium
Superior Vena Cava
deoxygenated blood from the head, neck, and upper limbs
Inferior Vena Cava
deoxygenated blood from lower limbs, abdomen, an pelvis
-largest blood vessel
Pulmonary Arteries
2
carry deoxygenated blood to the lungs
Pulmonary Veins
4
carry oxygenated blood from the lungs back into the L atrium of the heart
Surfaces of heart
Anterior (sternocostal)
Inferior (diaphragmatic)
2 pulmonary (L&R)
Apex
formed by the L ventricle and is directed anteriorly, inferiorly, and to the left
Base of heart
faces posteriorly
Auricle
small sac/appendage found on both atria
Coronary Sulcus
atrioventricular sulcus
-encircles heart
-above is atria, below is ventricle
Anterior Interventricular Sulcus
separates L & R ventricles on anterior surface
Posterior Interventricular Sulcus
separates L & R ventricles on inferior surface
R/L Atria
cardiac muscle is pectinate muscle
has Fossa Ovalis
Fossa Ovalis
shallow depression
-remant of foramen ovalis
-in embryonic stage, this foramen allows oxygenated blood arriving from placenta to move from the R atrium directly into the L atrium, bypassing lungs (why L ventricle is thicker than R)
-as heart develops, 2 leaflets grow towards each other and overlap, closing off foramen
Propatency: 15% of popn may have slight opening between leaflets
R/L Ventricle
cardiac muscle is trabeculae carnae
-closed off from atria by atrioventricular valves
-separated from arteries by semilunar valves
Tricuspid Valve
Right Atrioventricular Valve
Bicuspid Valve
Left Atrioventricular Valve
Papillary Muscles
subdivisions of trabeculae carnaea that attach to the leaflets of the tricuspid/bicuspid valves via small tendon-like structures = chordae tendinae
Pulmonary Semilunar Valve
separates R ventricle from pulmonary artery
-consists of 3 cusps
Aortic Semilunar Valve
separates L ventricle from aorta
-consists of 3 cusps
Pericardium
3 layers of ct covering heart
Serous Pericardium
Fibrous Pericardium
Serous Pericardium
2 continuous layers with serous membrane that produces serous fluid:
epicardium
parietal pericardium
Epicardium
layer of serous pericardium touching the surface of the heart
Parietal Pericardium
outer layer in touch with the fibrous pericardium
Pericardial Cavity
between 2 layers of serous pericardium
-contains serous fluid and facilitates movement of the heart
epicarditis: inflammation, resulting in overproduction of serous fluid. pressure gradually builds up and compresses the heart; severe, can stop heart
Fibrous Pericardium
dense ct occupying the thorax condenses and forms the outer layer of pericardium
Conductive System
2 nodes: sinoatrial (SA) and atrioventricular (AV)
-SA (R atrium near superior vena cava) initiates electrical impulses and distributes to rest of heart
-AV (near tricuspid valve) receives impulses from SA and pass to ventricles via AV nerve bundles = Bundle of His, that split into 2 branches and give rise to smaller end branches = Purkinje Fibres
Coronary Arteries
L & R
-both originate from aorta
Right Coronary Artery
travels in coronary sulcus
marginal artery (branch) supplies the R ventricle
psoterior interventricular artery (continuation) travels in the posterior interventricular sulcus and supplies both ventricles
Left Coronary Artery
divides into 2 branches:
anterior interventricular artery travels in the anterior interventricular sulcus and supplies both ventricles
circumflex artery supplies the L atrium and L ventricle
Venous Supply of Heart
3 major veins - all drain into coronary sinus
small cardiac vein
middle cardiac vein
great cardiac vein
Coronary Sinus
a large sac that sits on the coronary sulcus on the inferior/diaphragmatic surface of the heart
Small Cardiac Vein
travels with the R marginal artery on the R border of the heart
Middle Cardiac Vein
travels with the posterior interventricular artery in the posterior interventricular sulcus