Heart (Lecture) Flashcards
The fibroserous covering of the heart
pericardium
3 parts of the pericardium
Inner parietal serous pericardium
middle fibrous pericardium
outer pericardial mediastinal pleura
Where are the heart and the pericardium located in the mediastinum?
Middle
The continuation of the fibrous pericardium to the sternum and diaphragm forms
The phrenicopericardial lgament
The phrenicopericardial ligament is located where in the mediastinum?
Ventral
Serous pericardium envelopes most of
the heart
What adheres to the fibrous pericardium?
Parietal layer
What layer tightly adheres to the heart?
Visceral layer or epicardium
Where does the pericardial cavity reside?
Btw parietal and visceral serous pericardium.
Cavity contains pericardial fluid.
Where do the great vessels attach to the heart?
Base
Describe the apex of the heart
Faces ventrally, caudally and usually to the left depending on the shape of the thorax.
What surface of the heart faces the left thoracic wall and the two tips of the auricles project on?
Auricular
Auricles
Small appendages of each atrium
What is the surface of the heart that faces the right thoracic wall
Atrial surface
What groove lies between the atria and ventricles and contains coronary vessels and fat
Coronary groove
What groove is on the auricular side of the heart and begins at the base of the pulmonary trunk and covered by the left auricle and adjacent to conus arteriosus (outflow of R ventricle).
Paraconal interventricular groove
What groove is on the caudal aspect of the atrial surface ventral to the level of the coronary sinus that enters the right atrium
Subsinuosal interventricular groove
What groove contains the terminal branch of the L coronary artery
Subsinosal interventricular groove
What part of the heart receives blood from systemic veins and most of the blood from the heart itself
R atrium
R atrium is divided into
Sinus venarum (blind cranial part)
R auricle
What are the 4 openings into the sinus venarum of the R atrium?
- Caudal vena cava (caudally)
- Coronary sinus (ventrally)
- Cranial vena cava (dorsally and cranially)
- Right atrioventricular orifice (ventral and cranial to CS)
Where does venous return enter into the heart?
Coronary sinus
What is the large opening from the right atrium to the right ventricle
Right atrioventricular orifice/valve
Dorsomedial wall of sinus venarum
Interatrial septum
What’s inbetween the two caval openings thats a transverse ridge of tissue
Intervenous tubercle
Purpose of the intervenous tubercle
Diverts blood from two caval veins to right atrioventricular valve.
What’s caudal to intervenous tubercle and is a slitlike depression
Fossa ovalis
Fossa ovalis purpose in fetus
In fetus, there’s an opening in the fossa (foramen ovale) that allows blood to pass from R to L atrium
Orientation of R auricle
R atrium that faces cranially and to the left
Describe pectinate muscles
Internal surface of wall of R auricle and on lateral wall of atrium. Interlacing muscular bands
The internal surface of the heart s lined with
Endocardium-think,glistening membrane
Pulmonary trunk orientation
Leaves right ventricle
Opening between R atrium and R ventricle
Atrioventricular valve
Two main parts n the atrioventricular valve
Parietal and septal cusp
Pariteal cusp=wide and short flap extending from parietal wall
Septal cusp=as wide as it is long and extends from septal margin.
Where is 60% of the heart
Left of midline
Where is the apex of the heart
Left of midline
What degree is the heart tilted
45
Where is the heart situated between the ribs?
3rd and 6th ribs
T/F Heart is mostly under cover of forelimbs
True
Can the right ventricle and auricle be seen from the left side?
Ye
Is the heart located in the mediastinum?
Yes
What is included in the sac that covers the heart?
AKA the pericardium
Pericardium
- Mediastinal plura
- Fibrous pericardium
- Parietal layer of serous pericardium
Layers of serous pericardium
Visceral layer
Parietal layer
What are the 6 great vessels?
aorta cranial vena cava caudal vena cava pulmonary trunk pulmonary veins azygous vein (sometimes enters heart)
Name 4 structures that enter the right atrium
Cranial vena cava
Caudal vena cava
Azygous vein
Coronary sinus
What are 10 structures you can see on auricular surface
- R auricle
- L atrium
- L auricle
- R ventricle
- L ventricle
- Coronary groove
- Conus arteriosus (part of right ventricle)
- Paraconal interventricular groove
- Paraconal interventricular branch of left coronary artery
- Great cardiac vein
What are the L and R auricles also known as
L and R atrial appendages
Great cardiac vein enters R atrium as
Coronary sinus
3 major grooves of the heart
coronary groove
paraconal interventricular groove
subsinuosal interventricular groove
What are the fetal modifications in blood circulation (4)
- Foramen ovale: R atrium–>L atrium
- Ductus arteriosus: PT–>Aorta
- Umbilical vein: placenta–>liver
- Umbilical arteries: pelvic limbs–>placenta
T/F Ligamentum arteriosum is on the L side of heart
T
What connects the flaps of AV valves to septal walls of ventricles?
Chordae tendineae
What attaches the chardae tendineae to septal wall?
papillary muscles
Trabeculae carneae
Muscular irregularities of the interior of the ventricular walls
Trabecula septomarginalis
Muscular strand that extends across the lumen of the ventricle from the septal to the parietal wall.
What gives rise to the pulmonary trunk?
Conus arteriosus
Pulmonary valve makeup
Similar to?
3 semilunar cusps
Nodule located at each free edge of cusp
Similar to aortic valve
What kind of muscles are in the L auricle
pectinate
Valve of foramen ovale
remnant of passageway btw RA–>LA in fetus
What’s the fribrous connection between the PT and aorta? What’s it called in the fetus?
ligamentum arteriosum
Ductus arteriosus
What artery leaves the right sinus of the aorta and encircles right side of coronary groove?
Right coronary artery
What are the characteristics of the left coronary artery
- 2x as large as righ
- Leaves left aoritc sinus
- 3 branches: circumflex branch and paraconal interventricular branch and subsinosal interventricular branch
What’s the terminal end of the great cardiac vein
coronary sinus
Purpose of great vein
Returns blood supplied by heart via left coronary artery
Place where you can hear the best heart sounds
Puncta maxima
Puncta maxima valve locations
R AV-R 4th interspace low
L AV-L 5th interspace low
Aortic- L 4th interspace, lvl of shoulder
Pulmonary- L 3rd interspace, low