Pericardium And Heart Part 1 Flashcards
What are the 4 portions of the mediastinum called
Superior
Middle
Anterior
Posterior
The middle mediastinum includes what structures
Pericardium(sac that hold heart) Heart Roots of great vessels -Ascending aorta -Pulmonary trunk -Superior vena cava
What is known as the fiberous sac that encloses the heart and the roots if the great vessels
The pericardium
What are the two layers of the pericardium
- fibrous pericardium
- serous pericardium
What three arteries supply blood to the pericardium
Pericardiophrenic a.
Bronchial a.
Esophageal a.
What is innervated by the sensory fibers of the phrenic, and vagus nerves as well as the sympathetic trunk
The pericardium
What kind if sac is the pericardium
A closed sac
Which layer of the pericardium is a tough external layer
The fibrous layer
When you open the chest what layer of the pericardium do you immediately see
The fibrous layer
Which layer of the pericardium blends with the diaphragm
Fibrous layer
The glistening serous membrane called the parietal layer of the serous pericardium lines what
The fibrous membrane
The visceral layer it the serous pericardium directly touches what
The myocardium of the heart
What lines both the external surface of the heart and the internal surface of the fibrous pericardium
The serous pericardium
What part if the fibrous pericardium may be exposed to infection
The upper portion
The inferior wall of the fibrous pericardial sac is firmly attached to what
Central tendon if the diaphragm
What is known as the pericardiacophrenic ligament
Where the fibrous pericardium connects with the central central tendon of the diaphragm
Are the fibrous pericardium and the central tendon of the diaphragm separable
No because they fuse together
What influences the movement of the pericardium
- heart
- great veins
- sternum
- diaphragm
What protects the heart against sudden overfilling
The fibrous pericardium
What carries the pericardium superiorly beyond the heart to the level of the sternal angle
Ascending aorta
What is the pericardial cavity
It is the potential space between the opposing layers of the parietal and visceral layers of the serous pericardium
What does the pericardial cavity normally contain
What is it useful for
Thin film of fluid, it allows the heart to move and beat in a frictionless environment
What makes up the epicardium( the outermost of thee layers of the heart wall)
The visceral layer
What is the thickest layer of the three walls of the heart
Myocardium
How many vessels connect the heart to the body
8
What layer is the outermost layer if the heart wall
Epicardium
Where is the transverse pericardial sinus located (you can stick your finger through it)
Between the aorta and the pulmonary trunk and SVC
How many pulmonary veins connect to the heart
4
The pulmonary veins carry what kind of oxygen to the blood
Oxygenated!
After the pericardial sac is opened a finger can be passed through what
The transverse pericardial sinus
While performing cardiac surgery, surgeon can put a clamp or tightening ligature around what to stop the circulation of blood flow in the large arteries
The transverse pericardial sinus
Cardiopulmonary bypass if initiated through a straight venous cannula that’s placed where
In the right atrial appendage
Phrenic nerves are between what vertebra?
C3-C5
c3,4,5 keep the diaphragm alive
What nerve is the primary source of sensory fibers and pain sensations conveyed by dermatomes c3-c5
Phrenic nerves
What is the function of the vagus nerve?
It is uncertain
Where are the sympathetic trunks located
On the lateral sides of the spinal chord
What must be opened to see the superior and inferior vena cava, since they are contained in a sac
The pericardial sac
Inflammation of the chest usually causes what
Pericarditis usually causes sharp chest pain and it increases with inspiration
What can pericarditis (inflammation of pericardium) do to the serous pericardium
It can make it rough causing friction of rough edges against serious pericardium
What are heart sounds like
Understandably distant and muffled