dissection heart and great vessels Flashcards

1
Q

mediastinum

A

space in the thoracic cavity between the pleural cavities

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2
Q

where do the vagus nerve orgiginate and type of nerve

A

medulla
mixed, parasympathetic
motor to pharynx,laryx and soft pale
sensory to muscosa of lari

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3
Q

where do the recurrent larngeal nerves come from and which is more diffuclt to find

A

vagus - split in thorax

right (shorter and loops around the subclavian artery)

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4
Q

what do the recurrent laryngeal nerves supply

A

muscles of the larynx

sensory to largyx below level of vocal cords/trachea

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5
Q

if the left recurrent largyeal nerve is longer what is clinical signigicance

A

increased potential to be affected, medial location e.g. lung cancer may compress nerve

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6
Q

where is the ligamentum arteriosum located

A

between the pulmonary trunk and aorta

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7
Q

what was before the ligamentum arteriosum

A

ductus arteriousus

shunted blood from the pulmonary trunk to aorta

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8
Q

what happens if the ductus arteriosus fails to close at birth

A

oxygenated blood can flow from left to right from aorta

shortness of breath and trachycardia

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9
Q

what come off the arch of aorta

A

bracheicephalic (right subclavian and right common carrot)
left common carotid
left subclavian

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10
Q

what do the subclavian arteries suppyl

A

arms, chest, back, head

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11
Q

what do the carotid arteries supply

A

internal - brain

external - neck oesophagus, pharynx laryxl lower jaw and face

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12
Q

surface landmarks of the heart
right/left borders
apex
superior border

A
right border
right artrium, right ventricle (3rd coastal to 6th costal cartilage)
left border
left ventricle, left auricle (2nd space to apex)
apex 
5th left IC space, mic clavicular line
superior border 
lies behind the sternal angle 
right side more superficial
ventricles anterior to the atria
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13
Q

what does the left coronary archery branch into

A

anterior inter ventricular

circumflex

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14
Q

what are the branches of the right coronary artier

A

posterior inter ventricular

right marginal branch

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15
Q

where do the coronary arteries arise from

A

aorta immediatly above the aortic valve

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16
Q

what causes narrowing of the coronary arteries

A

atherosclethotic plaques

cholesterol, fatty deposits etc

17
Q

what is narrowing of the coronary arteries called

A

ischemia

leads to shortness of breath, palpitations, dizziness, nausea

18
Q

why is a symptom of ischemia pain down left arm

A

referred pain (angina)

19
Q

how can narrowing of ratios be detected

A

coronary angiograms

20
Q

what bypasses in a quadruple bypass

A

LAD (left descending artery from the coronal artery)
RCA (right coronary artery)
LCX (left circumflex artery)
and first diagonal artery of LAD

21
Q

how can you counteract narrowing of coronary arteries

A

bypass

ballon held in metal space

22
Q

what form the superior vena cava

A

right and left brachiocephalic vein

23
Q

what used to be the fossa ovalis

A

foramen ovalae

between the two atria, allows blood to pass from right to left

24
Q

where does Venus blood from the myocardium blood drain into

A

crononary sinus
found at base of AV groove
opens up into the right atrium

25
Q

what is the SA node and AV node supplied by

A

SA- right coronary artery branch, sometimes a left branch

AV - right coronary artery

26
Q

what can narrowing of coronary arteries be detected by

A

coronary angiograms

27
Q

diseases that can occur to the structured dissected

A

myocardial infarcation - plaques in the coronary arteries
angina - plaqes in coronary arteries (lack of blood supply to heart)
aneuryms - weakness in walls of vessels, pressure on other structures