Anatomy of the heart- lecture 1 Flashcards
What structures are contained within the lung root
- Pulmonary artery
- Main bronchus
- pulmonary veins - 2 for each lung
- Pulmonary lymphatic vessels
- Bronchopulmonary lympho nodes
- Autonomic motor nerves
- Pulmonary visceral afferents
Where is the heart located
middle mediastinum
Where are the phrenic nerves found in relation to the heart
Descend down lateral borders of the pericardium
There are two nerves found in the middle pericardium how can we find these
- Vagus nerve - Posterior to hilum
- Phrenic nerve - anterior to Hilum
What are the layers of the pericardium
- Fibrous pericardium
- Serous pericardium
- Parietal serous layer
- Visceral serous layer - this is the Epicardium
What is between the two serous layers
Pericardial cavity/sac
- Secretes serous fluid
- To reduce surface tension and lubricate the heart
What pathology can airse in the pericardial cavity
Haemopericardium - heart fills with blood
- Can put pressure on the heart and prevent contraction
- Can lead to cardiam tamponade - preventing normal beats
What is the treatment for fluid in the pericaridal space
Pericaridocentesis
- Draining fluid
- Needle inserted via infrasternal angle and directed superior-posteriorly, aspirating continously
- Below the costal cartilages
What is the transverse pericardial Sinus
- A channel between the posterior left and right sides of the pericardial cavity
- Posterior to the ascending aorta and pulmonary trunk
- Anterior to the SVC
- Can put fingers behind the 2 vessels
What is the significance of the transverse percardial sinus
Surgical importance
- Cardiopulmonary bypass
- Isolate the two vessels and tie them off
What are the Great vessels of the heart
What are the clinically important surfaces of the heart
- Anterior (Sternocostal) Surface
- Base (Posterior) Surface
- Inferior (Diaphragmatic) Surface
What are the cinically important borders of the heart
- Right border - Right atrium
- Left (lateral) Border - Left ventricle
- Inferior border - Right ventricle
- Superior border - Great vessels
What is the apex
Clinically the most lateral and inferior aspect of the heart
- Located in left side, 5th intercostal space midclavicular line
What is the anterior surface anatomy of the heart
2 nerves in the superior mediastinum
- Vagus - most medial
- Phrenic- most lateral
What are the main veins form the heart
- Internal jugular vein - drians head and neck - left and right
- Subclavian vein - upper limb drainage
- these two form the Brachiocephalic vein - on the Right
- Brachiocephlic vien on left is a branch of the SVC
- Pulmonary veins - brings oxygenated blood back to the heart into the left atrium -4 pulmonary veins - 2 on each side
- the Two brachiocephalic veins come together to form superior vena cava
What are the main ateries of the heart
- Pulmonary arteries - Deoxygenated blood to the lungs
- Aorta
- Ascending aorta
- Arch of aorta
- Descending Aorta