Anatomy - The Heart Flashcards
where do the phrenic nerves descend relative to the hilum?
anteriorly
where do the vagus nerves descend relative to the hilum?
posteriorly
what covers the anterior surface of the heart?
epicardium
what is another name for the epicardium?
visceral serous pericardium
what are the two types of pericardium?
serous
fibrous
what are the two layers of the serous pericardium?
visceral (in contact with the heart)
parietal (in contact with the fibrous pericardium)
where is the pericardial cavity located and what does it contain?
between the two layers of serous pericardium
pericardial fluid
what internally lines the fibrous pericardium?
the parietal serous pericardium
what is haemopericardium?
when the pericardial cavity fills with blood
what is pericardiocentesis?
the drainage of fluid from the pericardial cavity
where is the needle inserted for pericardiocentesis?
via the infrasternal angle, superposteriorly into the pericardial cavity
where is the transverse pericardial sinus located?
in the pericardial cavity, posterosuperiorly
posterior to the ascending aorta and pulmonary trunk
what area is used to identify and isolate the great vessels during cardiac surgery?
the transverse pericardial sinus
finger emerges anterior to the SVC
what does the pulmonary trunk divide into?
the right and left pulmonary arteries
what are the three clinically important surfaces of the heart?
anterior (aka sternocostal)
base (aka posterior)
inferior (aka diaphragmatic)
what are the four clinically important borders of the heart?
right
left
inferior
superior
where is the apex of the heart found?
fifth left intercostal space, midclavicular line
what effect can cardiomegaly have on the apex of the heart?
shift it to the left
where is the right coronary artery found?
the coronary groove
what is the coronary groove the surface marking for?
the tricuspid valve
also the boundary between RA + RV
what are the three nerves that run near the heart from medial to lateral?
recurrent pharyngeal
vagus
phrenic
what forms the SVC?
the left and right brachiocephalic veins
what forms the brachiocephalic veins?
the internal jugular and subclavian veins
what is the posterior interventricular artery a branch of and where is it located?
right coronary artery
posterior interventricular groove
what indicates the boundary between the two ventricles on the diaphragmatic surface of the heart?
the posterior interventricular groove
what indicates the boundary between the two atria?
the interatrial groove
what makes up most of the base of the heart?
the left atrium
what separates the base and diaphragmatic surfaces of the heart?
the coronary sinus
what do the coronary arteries arise from?
the ascending aorta
what is the first branch of the aorta?
mainstem coronary arteries
where is the left mainstem coronary artery found?
in the left atrioventricular groove, between the pulmonary trunk and the left auricle
where is the right coronary artery located?
coronary groove
what are the branches of the right coronary artery?
right marginal artery
posterior interventricular artery
which is longer - the right or left coronary artery?
right
what are the branches of the left coronary artery?
circumflex
LAD
left marginal artery
lateral branch
what is the coronary sinus?
a short venous conduit that recieves deoxygenated blood from cardiac veins and drains into the right atrium
where is the coronary sinus located?
the atrioventricular groove posteriorly
what are the three openings in the right atrium for?
SVC
IVC
coronary sinus
what is the oval fossa?
a depression in the septum in the RA
marks where the foetal foramen ovale was
what divides the rough and smooth parts of the RA?
the crista terminalis
what is the role of the heart valves?
ensure unidirectional flow of blood
what are the four valves of teh heart?
pulmonary
mitral
aortic
tricuspid
where is the aortic valve auscultated?
2nd right ICS sternal edge
where is the tricuspid valve auscultated?
4th left ICS sternal edge
where is the pulmonary valve auscultated?
2nd left ICS sternal edge
where is the mitral valve auscultated?
5th left ICS midclavicular line