Heart Flashcards
Fibroserous sac that encloses the heart and the roots of the great vessels and occupies the middle mediastinum
PERICARDIUM
3 layers of the pericardium
Visceral layer of SEROUS pericardium
Parietal layer of SEROUS pericardium
Fibrous pericardium
Known as EPICARDIUM
Consists of layer of SIMPLE SQUAMOUS EPITHELIUM (mesothelium)
Visceral layer of SEROUS pericardium
Thick collagen layer with limited ability to distend acutely
Fibrous pericardium
Descend through the mediastinum lateral to the fibrous pericardium and are in jeopardy during surgery to the heart
Phrenic nerve
Pericardiophrenic artery
Innervation of the pericardium
Phrenic nerve (C3-C5)
referred to the skin (C3-C5 dermatomes) of the IPSILATERAL SUPRACLAVICULAR REGION
Removal of fluid from pericardial cavity
PERICARDIOCENTENSIS
Sternal approach
Subxiphoid approach
Surfaces of the Heart
Sternocostal (Anterior)
Diaphragmatic (Inferior)
Base (Posterior)
Borders of the Heart
RIGHT - RA, SVC, IVC
LEFT - LV, aortic, pulmonary trunk
SUPERIOR - R/L auricles
INFERIOR - RV
Supply oxygenated arterial blood to the heart
RCA and LCA
Arises form the right aortic sinus (of Valsalva) of the ascending aorta and courses in the coronary sulcus
Right Coronary Artery (RCA)
Branches of RCA
SA nodal
Right marginal
Posterior interventricular/Posterior descending
AV nodal
The blood supply of the heart is considered ___________ if the posterior interventricular artery arises from the RCA
Right side dominant (MOST COMMON)
Posterior interventricular artery is a branch of circumflex branch of the LCA
Left Dominance
Both the R coronary and circumflex arteries contribute to the formation of the posterior interventricular artery
Codominance
Supplies the right atrium
Right Coronary Artery
Supplies the right and left ventricles
Anterior Descending/Left Anterior Descending (LAD) artery
Supplies the left margin of the left ventricle
Circumflex - left marginal artery
The LARGEST vein draining the heart and drains directly into the right atrium
Coronary Sinus
A crescent shaped valve remnant at the opening of the coronary sinus
Thebesian valve