10/2 Thorax II Flashcards
which 2 valves come into contact with deoxygenated blood
tricuspid (right AV valve) and pulmonary semilunar
which 2 valves come into contact with oxygenated blood
mitral and aortic semilunar
describe the flow or blood, from deoxygenated in the peripheral tissue to oxygenated returning to peripheral tissues
too long. don’t fuq it up
three layers of the pericardial membrane
outer = fibrous pericardium middle = parietal serous pericardium inner = visceral serous pericardium
fibrous pericardium
outer layer of pericardial membrane
defines the borders of the middle mediastinum
attached to central tendon of diagphram via pericardiophrenic ligaments
blends superiorly with adventitia of great vessels
attached to sternum by sternoperiocardial ligaments
parietal serous pericardium
middle layer of pericardial membrane
lines inner surface of fibrous layer
visceral serous pericardium
inner layer of pericardial membrane
adheres to the surface of the heart and forms its outer covering
cannot experience pain
where are the parietal and visceral serous pericardia contiguous?
roots of the great vessels
pericardial cavity
narrow potential space between layers, normally contains serous fluid to reduce friction
innervation of fibrous/parietal serous
GSA phrenic nn (C3-C5)
innervation of visceral serous
GVA
fibers in autonomic nn to cardiac plexus
blood supply to pericardium
L and R periocardiocophrenic aa that travel along with the phrenic nn.
branches of the internal thoracic aa
pericarditis
painful inflammation of the pericardium
pericardial effusion
buildup of fluid (blood, pus, etc) in the pericardial cavity. can compress the heart and lead to cardiac tamponade which reduces cardiac output and is an emergency
referred pain of the pericardium
innervated by GSA C3-C5 (phrenic nn), so problems here might present as pain in those dermatomes (supraclavicular region of shoulder and lateral neck)
pericardiocentesis
removal of fluid from the pericardial cavity with an aspirating needle through the 5th intercostal space, left of the xiphisternal junction w/ help from US
two cardiac sinuses
transverse pericardial sinus
oblique pericardial sinus
transverse pericardial sinus
seperates arteries from veins, posterior to ascending aorta and pulmonary trunk, anterior to the superior vena cava
can stick finger in here during surgery to seperate aa and vv
oblique pericardial sinus
formed by reflections onto the pulmonary vv of the heart, can hold heart here during surgery to stabilize it
weakest heart chamber
right atrium
strongest heart chamber
left ventricle
what are/function of sulci
contain neurovasc supply to the heart within epicardial fat
grooves on the surface that are extensions of internal partitions
name the three sulci
coronary sulcus
posterior and anterior sulcus
coronary sulcus
horizontal band around heart that seperates atria and ventricles