The Heart Flashcards
pulmonary circulation
right heart pumps deoxygenated blood to the lungs at a low pressure of 12-16 mmHg
systematic circulation
left heart pumps oxygenated blood throughout the body at a high pressure of 70-120 mmHg
what makes up the sternocostal surface
- Right ventricle
- right atrium ( a little)
- left ventricle (a tiny bit)
diaphragmatic surface
- Left ventricle
- a little right ventricle
Separated from the base of heart by the coronary sinus
Apex of the heart
✓ Left 5th intercostal space and 8-10 cm left of midline
✓ More superior and lateral in children
Base of the heart
✓ Composed primarily of left atrium and pulmonary veins, small portion of right atrium.
✓ Fixed posteriorly to the pericardium, at the level of T6(5)-T9(8) vertebrae
Right margin:
– Right atrium
Left margin:
– Left ventricle and left auricle
Inferior margin
– Right ventricle + left ventricle
✓ Coronary sulcus
− Separates atria from ventricles
− Right coronary artery
− Left circumflex artery
− Coronary sinus
✓ Anterior interventricular sulcus
– Anterior interventricular artery
– Great cardiac vein [Anterior interventricular vein]
– Right of the apex
✓ Posterior interventricular sulcus
– Posterior interventricular artery
– Middle cardiac vein [Posterior interventricular vein]
SEPTA & CHAMBERS
✓ Interatrial (IA) septum ✓ Interventricular (IV) septum ✓ Atrioventricular (AV) septum ✓ Right (RA) and left (LA) atria ✓ Right (RV) and left
RIGHT ATRIUM (RA)
✓ Temporary reservoir for deoxygenated blood
✓ Receives blood from Superior v. cava (SVC), inferior v. cava (IVC), coronary sinus and smallest cardiac veins
✓ Internally, crista terminalis is a muscular ridge that separates right atrium from right auricle
✓ Sulcus terminalis externally
✓ Fossa ovalis
− On the right side of IA septum
− Site of foramen ovale in foetus
− Margin is limbus fossae ovalis
✓ Opening of SVC
− Deep to the joint between right
3rd costal cartilage and sternum
− No valve
− Intervenous tubercle
✓ Opening of coronary
− Valve of coronary sinus
prevent regurgitation of blood
RIGHT AURICLE
Rough surface, formed by pectinate muscles
− Provide some power of contraction without significantly thickening the cardiac wall
RIGHT VENTRICLE (RV)
✓ Deoxygenated blood from the RA enters through right AV orifice into the RV
✓ Sits on central tendon of diaphragm
✓ Wall thickness 3-4 mm.
✓ Outflow tract right ventricle
Infundibulum [conus arteriosus] where the pulmonary trunk arises
− Blood flows upwards, backwards and to the left
− Surface of Infundibulum is smooth