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35 Cards in this Set

  • Front
  • Back
What are the boundaries of the thorax?,
1. Superior border is the inferior border of 1st rib
2. Inferior border: diaphragm; ribs on either side
What are the boundaries of the superior, middle, anterior and posterior mediastinum?
Superior – above T4/T5 at sternal angle
Middle – consists of pericardium & heart
Anterior – between sternum & pericardium
Posterior – between pericardium & thoracic vertebrae
Name 4 structures or borders for which the sternal angle is a landmark.
2nd rib; disc b/w T4 & T5; split b/w superior & inferior mediastinum; where trachea bifurcates, superior limit of pulmonary trunk, and where the arch of the aorta begins & ends.
Diaphragm
Opening for IVC – T8
Opening for esophagus – T10
(Descending aorta – T12)
Phrenic nerve. Is it found in the superior mediastinum?_____ Middle mediastinum? _____
Yes and Yes
2) For what structures does the phrenic nerve supply sensory innervations?
Fibrous pericardium, mediastinous pleura, diaphragmatic peritoneum
Sympathetic Trunk Is it found in the posterior mediastinum?
YES
Esophageal nerve plexus - From what nerves does this plexus originate?
Vagus & visceral branches of sympathetic trunk
Aortic valve → Aorta → 1st 2 branches = coronary arteries; 3 main branches off arch of aorta (Brachiocephalic, L. Common Carotid, L. Subclavian)
Semilunar cusps
x
Pulmonary artery carries what blood?
deoxygenated blood to the lungs
Pulmonary vein carries?
oxygenated blood from lungs back to heart
What was the ligamentum arteriosum in the fetus?
Ductosus arteriosus stops blood from going to the lung; becomes ligamentum arteriosus after you’re born.
What was the function of ligamentum arteriosum in the fetus?
Bypass lungs by allowing blood flow from pulmonary trunk → aorta
What nerve is found wrapping around the aorta close to the ligamentum arteriosum?
Left. Recurrent laryngeal
The following veins are not visible, but what are the veins run with them?
Great cardiac vein –
Middle cardiac vein –
Small cardiac vein –
Great cardiac vein – runs with LAD
Middle cardiac vein – runs with posterior intraventricular
Small cardiac vein – R. marginal
Ductous Venosus becomes what when you’re beorn?,
ligamentum venosum

Valve of IVC directs blood through foramen ovale (lung bypass); no purpose when born
Where would the SA and AV nodes be located?
SA: right at top of crista terminalis & SVC
AV: bottom of interatrial septum near opening of coronary sinus
Fossa ovalis
Foramen ovale open in fetus; found in interatrial septum
What was this structure in the fetus?
Foramen ovale. What function did it serve? Lung bypass
Is the valve of fossa ovalis derived from Septum Primum or Septum Secundum?
Septum premum → forms valve
Septum secundum → foramen ovale
Specimens: Whole body with bronchial tree

Brachiocephalic artery (1st branch on arch)
Left common carotid artery (2nd branch)
Left subclavian artery (3rd branch)
x
Ligamentum teres
What is this ligament a remnant of?
Fetal umbilical vein
What function did ligamentum teres serve?
brought oxygenated blood from placenta → fetus
septum primum
floor of the fossa ovalis
What has a R to left shunt?
ductus arteriosis
What forms the valve of the foramen ovale?
septum primum
What chamber of the heart do you find the tricuspid valve?
R. Ventricle
After birth, umbilical arteries become the?
medial umbilical ligaments
Tetrology of fallot
1. Overriding Aorta
2. hypertrophy of right ventricle
3. stenosis of the pulmonary trunk
4. ventral septal defect
What defects result in the endocardial cushions not developing?
Atrial and ventricular septal defects
ductus arteriosus shunts blood from?
the pulmonary trunk to the aorta
The location of the heart primordium in a 3 week embryo is?
The most cranial structure
What vessels in the fetus have the highest oxygen content?
Umbilical vein
The base of the heart consists mostly of?
the left atrium
The pulmonary valve prevents?
blood from flowing back into the right ventricle