5. Mediastinum + Heart II Flashcards
Atria (Atrium)
Thinner walls
Pump blood to adjacent chambers
Ventricles
Thicker walls
Pump blood to lungs, body
Septae
Interatrial septum
Interventricular septum
Grooves
LOOK AT IMAGE
Coronary (atrioventricular) groove
Anterior interventricular groove
Posterior interventricular groove
Coronary Arteries
Arise from ascending aorta
Bring oxygen rich blood to heart
R and L
Right Coronary Artery (RCA)
LOOK AT IMAGE
Travels in coronary groove
Sinoatrial (SA) nodal bunch
Right marginal branch
Posterior interventricular branch
Left Coronary Artery (LCA)
Short segment, branches quickly
Anterior interventricular branch (LAD: left anterior descending)
Circumflex branch
L marginal branch
Myocardial Infarction (MI)
aka heart attack
area of heart muscle that has undergone necrosis
usually caused by ischemia due to occlusion of coronary artery
Common Sites of Coronary Artery Occlusion
- LAD
- RCA
- Circumflex
- LCA
Coronary Bypass Surgery
Treatment for MI
Technique used to shunt blood around narrowed or blocked coronary arteries
Graft alternate vessel to ascending aorta
- internal thoracic artery
- great saphenous vein
Venous Drainage
LOOK AT IMAGE
Coronary sinus
- great cardiac vein
- middle cardiac vein
- small cardiac vein
Coronary Sinus
Drains into R atrium
Lies in coronary groove
Great Cardiac Vein
Anterior interventricular groove
Travels with anterior interventricular artery
Middle Cardiac Vein
Posterior interventricular groove
Travels with posterior interventricular groove
Small Cardiac Vein
Travels along inferior border of heart with R (?) marginal artery
Right Atrium
Connects to openings of IVC, SVC, coronary sinus
Fossa Ovalis
R Auricle
Right Auricle
Remnant of primordial heart
Pectinate muscle: ridged muscles on wall
Crista terminalis: ridge separating auricle and smooth posterior wall
Fossa Ovalis
Oval shaped depression in interatrial septum
Remnant of embryonic foramen ovale
Right Ventricle
Trabeculae carneae muscle
3 papillary muscles (anterior, posterior, septal)
Chordae tendinae: extend between papillary muscle and cusps of valve
Interventricular septum
Septomarginal trabecula