Heart and great vessels Flashcards
What two arteries branch off the ascending aorta
the left and right coronary arteries
what two arteries supply the upper extremities
the right and left subclavian arteries
what two arteries supply the head and brain
the right and left common carotid arteries
brachiocephalic trunk
this is what the right subclavian and right common carotid arteries branch out of after traveling from the left side of the body to the right since the heart location causes them to need to move to the right side of the body
when does the cardiovascular system begin in development
- this develops early because although blood and nutrients are supplied by mother the child needs a heart to pump it through the body
- it is the first major organ to become functional
ductus arterisosus
this is around before birth and allows for any blood that exited the right ventricle and is traveling into the pulmonary trunk to be shunted into the aorta so that it can bipass pulmonary circulation
-closes a couple days after birth due to changes in pressure when air is brought into the lungs
foramen ovale
this is a hole that is in the septum between the atria to bipass the pulmonary circulation
-closes a couple days after birth due to changes in pressure when air is brought into the lungs
apex
- this is the inferior end of the heart
- this is left of midline
position of heart
-this is slightly left of midline and deep to the sternum
what is the inferior boarder of the heart
this is the right ventricle
that is the superior border of the heart
this is the aorta and the superior vena cava
cardiomegaly
this is an abnormal enlargement of the heart
- it takes up more space in the thoracic cavity and can be caused by a series of different things that caused the heart to work harder than it needed to and it grew in size but the heart can only work hard for so long before it results in heart failure
pericardium
this is similar to the pleura of the respiratory tract
- however, this contains three layers rather than 2: the fibrous pericardium, the serous pericardium (is two layers)
fibrous pericardium
this is the tough outter sac
- prevents heart from overexpanding and taking in too much blood
- important for the pumping action
serious pericardium
inner layer formed by 2 continuous layers
-visceral pericardium and parietal pericardium
visceral pericardium
this is the layer on the surface of the heart
-this even forms part of the heart wall
parietal pericardium
this is between the visceral and fibrous layers
pericardial space
the space between the parietal and the visceral pericardium
-contains pericardial fluid and reduces friction and allows for smooth gliding between the layers
what is important to remember about the heart’s position in relation to the pericardium
the heart is surrounded by the pericardium, it is not within the pericardium
pericardial effusion
this is when there is an accumulation of too much fluid in the pericardial cavity
- this prevents the heart from expanding as much as it usually does and there is less blood that is entering the heart
- can cause cardiac tamonade
constrictive pericaritis
this is the thickening of the parietal pericardium
- this makes the heart more restricted and cannot fill as normal as it usually does
- can lead to cardiac tamponade
what are the layers of the heart wall
- epicardium
- myocardium
- endocardium
epicardium
this is the outter most layer
-this is the visceral layer of the serous pericardium
myocardium
- this is the middle layer
- this is the cardiac muscle
- this is the thickest layer of the heart wall
endocardium
this is endothelium
-this lines internal surfaces of the heart chambers and external surface of the heart valves
this is the same as what lines the inner walls of blood vessels and is continuous with it
endocarditis
this is an inflamed endocardium and this leads to a thickening of the valves which then causes malfunction and prolapse (collapse backward) and the blood can flow the wrong way
describe the order that the blood flows through the heart
- enters the right atrium from the inferior/superior vena vaca
- travels through the right AV valve (tricuspid)
- enters the right ventricle
- travels through the pulmonary semilunar valve
- enters the pulmonary trunk
- travels through the pulmonary arteries to the lungs
- travels back to the heart in the pulmonary veins
- enters the head into the left atrium
- travels through the left AV valve (bicuspid/mitral)
- enters the left ventricle
- gets pumped through the aortic semilunar valve
- enters the aortic trunk
- is sent out to the extremities
what is the thoracic aorta
-this is the portion of the descending aorta that is from the aortic arch to the diaphragm
the abdominal aorta
this is the portion of the descending aorta that travels from the diaphragm to the branches of the iliac arteries
ascending aorta
- this is the side of the aorta on the other side of the aortic arch
- it has two arteries coming off of it, the right and left coronary arteries
aortic arch
this is the portion of the aorta that has the three main arteries that feed the upper extremities and the heart
- brachiocephalic trunk
- left common carotid artery
- left subclavian artery
pulmonary circuit
carries CO2 rich blood away from the heart to the gas exchange surfaces of the lungs and then returns O2 rich blood back to the heart
systemic circuit
transports O2 rich blood from the heart to the rest of the body cells and returns CO2 rich blood back to the heart
interatrial septum
this separates the two atria (this is where the foramen ovalis was as a fetus)
interventricular septum
this separates the ventricles
the right atrium
this receives O2 poor blood from the systemic circuit from the inferior and superior vena cavas
inferior/superior vena cava
these vessels deliver oxygen poor blood from the body to the right artium of the heart
pectinate muscles
these extend along the anterior wall of the right atrium
- muscular ridges?
the right ventricle
receives oxygen poor blood from the right atrium and pumps this blood through the pulmonary trunk into the pulmonary circuit
-this is not as muscular as the left ventricle
tricuspid valve
- this connects the right atrium and right ventricle
- it has one side of each flap attached to the cardiac skeleton of the heart
- the other side of the flap is connected to the chordae tendineae
chordae tendineae
these limit the movements of cusps when valves close and prevent backflow of the blood
-they extend from the papillary muscles
papillary muscles
cone shaped muscular projections of the inner surface of the ventricle
trabeculae carneae
irregular muscular ridges on the ventricle surfaces
the left atrium
receives oxygenated blood from the pulmonary veins
bicuspid valve
this is separating the left atrium and the left ventricle
-this has two flaps (also means there are only two papillary muscles
the left ventricle
- this receives blood from the left atrium and pumps it into the aorta
- has a round cross section
- has a much thicker myocardium layer than the right ventricle
aortic semilunar valve
this is a three cusp valve within the aorta that prevents backflow of blood into the left ventricle
pulmonary semilunar valve
this is a three cusp valve within the aorta that prevents backflow of blood into the left ventricle
what is important to know about the semilunar valves
there are no chordea tendineae because the three cusps push against each other like the legs of a tripod and support each other that way
ligamentum anteriosum
this is a fibrous band of connective tissue that is left over from the fetal blood vessel and is now attaching the pulmonary trunk to the aortic arch
what are the four components of the heart valves
- a ring of connective tissue attached to cardiac skeleton
- connective tissue cusps
- chordae tendineae that attach to the cusps
- papillary muscles that tense the chordae tendineae
regurgitation
back flow of blood
-chordae tendineae and papillary muscles are essential to prevent this
pulmonary trunk
this is the vessel that oxygen poor blood is pumped into from the right ventricle before entering the pulmonary circuit
pulmonary arteries
these bring oxygen poor blood away from the heart and to the lungs to go to the sites of gas exchange