SFP: Middle Mediastinum And Heart Flashcards
What defines the middle mediastinum?
The pericardium
The middle mediastinum is a compartment in the thoracic cavity that contains the pericardium.
What are the contents of the middle mediastinum?
- Pericardium
- Heart
- Origins of great vessels
- Nerves (phrenic NN and cardiac plexus)
- Smaller vessels
These structures are essential for the function and support of the heart.
Describe the fibrous pericardium.
The fibrous pericardium is the outer layer of the pericardial sac that blends with adventitia of the great vessels. It is attached on the superior surface of the diaphragm.
This layer provides structural support and protection to the heart.
What are the two layers of serous membrane within the pericardium?
- Parietal (the lining of the sac)
- Visceral (on the heart surface)
The pericardial cavity is located between these layers and contains fluid for lubrication.
What are the layers of the pericardium from superficial to deep?
- Fibrous outer layer
- Parietal serous layer
- Pericardial cavity
- Visceral serous layer
This organization is important for the overall function and protection of the heart.
What are pericardial reflections?
Areas where the visceral and parietal layers of the pericardium meet at a great vessel
These reflections are crucial for the attachment and support of the heart.
Where are arterial reflections seen?
- Aorta
- Pulmonary trunk
These areas are significant for the outflow of blood from the heart.
Where are venous reflections seen?
- SVC
- IVC
- Pulmonary veins
These reflections are important for the return of blood to the heart.
What is a pericardial sinus?
Spaces between arterial and venous reflections
These sinuses play a role in the movement and positioning of the heart within the pericardial cavity.
Which great vessels are in the pericardial sac?
SVC, IVC, ascending aorta, and pulmonary trunk
What are the semilunar valves?
Aortic and pulmonary
Does the right or left ventricle tend to be anterior?
Right
What is the coronary sulcus?
Structure found between the atria and ventricles
What is the interventricular sulcus?
Structure that separates ventricles
Describe the first step in the development of sinuses.
The heart begins its development as a tube
Describe the second step in the development of sinuses.
The heart begins to bend and loop as it forms
What does the loop of the heart form during development?
A transverse pericardial sinus
What structures can be found posterior to the pericardium in the posterior mediastinum?
Descending aorta, esophageal arteries, esophagus, L vagus nerve, and esophageal nerve plexus
The right coronary artery branches into which arteries?
The right coronary artery that extends over the right chamber anteriorly and the posterior descending artery
Fill in the blank: The area where the primordial arterial and venous ends are brought together forms the _______.
transverse pericardial sinus
True or False: The left ventricle is typically positioned anteriorly.
False