Thoracic Cardiology Flashcards

1
Q

Boundaries of Superior Mediastinum

A
  • Superior Thoracic Outlet (1st rib and manubrium, T1 vertebrae)
  • Transverse Thoracic Plane (T4)
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2
Q

Boundaries of Inferior Mediastinum

A
  • Transverse Thoracic Plane (T4)
  • Diaphragm
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3
Q

What are the 3 subdivisions of the Inferior Mediastinum?

A
  • Anterior
  • Middle
  • Posterior
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4
Q

Contents of Superior Mediastinum

A
  • Thymus
  • Great Veins (SVC, Brachiocephalic veins)
  • Arch of the Aorta (Common Carotids, Brachiocephalic)
  • Ligamentum Arteriosum
  • Trachea
  • Esophagus
  • Phrenic N
  • Vagus N
  • Left Recurrent Laryngeal N
  • Thoracic Duct
  • Arch of Azygous Vein (R SIDE!)
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5
Q

Components of Anterior Inferior Mediastinum

A
  • Inferior Thymus
  • Lymph Nodes
  • Fat
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6
Q

Components of Middle Inferior Mediastinum

A
  • Heart and Pericardium
  • Phrenic N
  • Ascending Aorta
  • Pulmonary Trunk, Arteries and Veins
  • SVC
  • IVC
  • Coronary Arteries and Cardiac Veins
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7
Q

Components of Posterior Inferior Mediastinum

A
  • Esophagus
  • Thoracic Aorta
  • Primary Bronchi
  • Vagus N
  • Azygos Vein
  • Thoracic Duct
  • Splanchnic Ns
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8
Q

Where does Tracheal bifurcation occur?

A

T4 (lowest part of the superior mediastinum)

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9
Q

3 Layers of the Heart (outermost to innermost):

A

(1) Epicardium (Visceral Serous Layer): thin external layer formed by visceral layer of serous pericardium
(2) Myocardium: thick middle layer composed of cardiac muscle
(3) Endocardium: thin internal layer that covers the chambers of the heart and the valves

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10
Q

Sinuses

A
  • Formed by reflections of visceral serous pericardium
  • Formed during looping of heart tube during heart development
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11
Q

Transverse Pericardial Sinus

A
  • Posterior to the aorta and pulmonary trunk
  • Anterior to SVC and pulmonary veins
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12
Q

Oblique Pericardial Sinus

A

Cul-de-sac posterior to the heart; bound by pulmonary veins and SVC/IVC

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13
Q

What vessels empty into the right atrium?

A
  • SVC
  • IVC
  • Coronary Sinus
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14
Q

What ostia are found in the semilunar valves of the aorta?

A
  • Right coronary ostia
  • Left coronary ostia
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15
Q

Fibrous Skeleton of the Heart

A
  • Structural framework that prevents collapse
  • Allows atria and ventricles to contract independently of one another
  • Attachment point for valves and myocardium
  • Electrical insulator
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16
Q

Conus Arteriosus

A
  • Located inside the Right Ventricle
  • Smooth area leading to the pulmonary trunk
17
Q

3 Papillary Muscles / Cusps found in the Right Ventricle:

A
  • Anterior
  • Posterior
  • Septal
18
Q

What structure contains the Right Bundle Branch?

A

Septomarginal Trabecula (Moderator Band)

19
Q

2 Papillary Muscles / Cusps found in the Left Ventricle:

A

(1) Anterior
(2) Posterior

20
Q

Pulmonary Valve: 3 Cusps

A
  • Right
  • Left
  • Anterior
21
Q

Aortic Valve: 3 Cusps

A
  • Right
  • Left
  • Posterior
22
Q

SA Node

A
  • Located in the superior end of the crista terminalis in the R Atrial wall
  • Pacemaker cells
23
Q

AV Node

A
  • Located in AV septum near opening to coronary sinus
24
Q

AV Bundle

A
  • Continuation of AV Node
  • Follows lower border membranous portion of interventricular septum
  • Divides into R/L bundle branches
25
Q

Where does AV Bundle divide into R and L bundle branches?

A

Within the Interventricular Septum

26
Q

Right Bundle Branch

A
  • Continues on R side of interventricular septum towards the apex
  • Enters septomarginal trabeculae of RV to reach base of anterior papillary muscle
27
Q

Left Bundle Branch

A
  • Continues on L side of interventricular septum towards apex
  • Supplies papillary muscles
28
Q

Purkinje Fibers

A
  • Final component of the cardiac conduction system
  • Network of specialized cells that spread excitation impulses throughout the ventricles
  • Continuous with R and L bundle branches
29
Q
A
30
Q
A
31
Q
A