Thorax Circulation Flashcards
Which side of the heart pumps blood in the pulmonary circuit?
Right
Which side of the heart pumps blood in the systemic circuit?
Left
Approximately how large is the heart?
The size of a clenched fist
Where is the heart located?
About a third of it is left of the midline posterior to the sternum in the middle mediastinum. The other third is to the right of the midline.
What is the base of the heart?
The posterosuperior surface formed primarily by the left atrium
What is the apex of the heart?
The inferior conical end, it projects anteroinferiorly towards the left side of the body
What fibrous serous sac surrounds the heart?
Pericardium
What is the outer, tough, dense connective tissue layer of the sac surrounding the heart?
Fibrous pericardium
What is the inner portion of the sac surrounding the heart?
Serous pericardium
What layer of the serous pericardium lines the inner surface of the fibrous pericardium?
Parietal layer
What layer of the serous pericardium covers the outside of the heart?
Visceral layer
What is the space between the parietal and visceral layers of the serous pericardium?
Pericardial cavity
What’s the three layers of the heart wall?
•Epicardium
•Myocardium
•Endocardium
What layer of the heart is a serous membrane?
Epicardium
What layer of the heart is composed of cardiac muscle?
Myocardium
What layer of the heart is composed of a single of simple squamous epithelium?
Endocardium
How many chambers make up the heart?
4
What are the two superior chambers of the heart that receive blood returning from the body and the lungs?
Atria
What are two inferior chambers of the heart that pump blood to the lungs and the body?
Ventricles
What relatively deep depression lies between the atria and the ventricles of the heart?
Coronary sulcus
What depressions lie between the ventricles of the heart?
Anterior and posterior interventricular sulci
What structure composed of dense irregular connective tissue lies between the atria and ventricles of the heart?
Fibrous skeleton
The right atrium of the heart receives blood from what circuit?
Systemic circuit
What three vessels empty into the right atrium?
•Superior vena cava
•Inferior vena cava
•Coronary sinus
What structure separates the right and left atria of the heart?
Interatrial septum
What separates the right atrium and right ventricle?
Right atrioventricular opening
What prevents blood from returning to the right atrium as the right ventricle contracts?
Right atrioventricular valve
What structure separates the right and left ventricles of the heart?
Interventricular septum
What nipple like structures project from the wall of the right ventricle?
Papillary muscles
What structures anchor the tricuspid valve to the walls of the right ventricle and prevent it from everting into the right atrium?
Chordae tendinaea
What blood vessel carries blood away from the right ventricle of the heart?
Pulmonary trunk
What valve prevents blood from returning to the right ventricle as that ventricle relaxes?
Pulmonary valve
The pulmonary trunk bifurcates into what two blood vessels?
Pulmonary arteries
What blood vessels carry blood from the lungs to the left atrium of the heart?
Pulmonary veins
What separates the left atrium from the left ventricle?
Left atrioventricular opening
What structure prevents blood from returning to the left atrium as the left ventricle contracts?
Left atrioventricular valve
What structures anchor the mitral valve to the walls of the left ventricle and prevent it from entering into the right atrium?
Chordae tendineae
What nipple like structures project from the walls of the left ventricle?
Papillary muscles
What structure prevents blood from returning to the left ventricle as that ventricle relaxes?
Aortic valve
What system of arteries, capillaries, and veins supplies the heart with blood?
Coronary circulation
What arteries arise from the ascending aorta to supply the heart with blood?
Coronary arteries
What branch of the right coronary artery supplies the right border of the heart?
Marginal artery
What branch of the right coronary artery supplies the ventricles on the posterior side of the heart?
Posterior interventricular arteries
What branch of the left coronary artery supplies the anterior walls of the ventricles?
Anterior interventricular artery
What branch of the left coronary artery supplies the left atrium and left ventricles?
Circumflex artery
What is a communication between or coalescence of blood vessels?
Anastomoses
What circulation of blood established through enlargement of minor vessels and anastomosis of vessels with those of adjacent parts when a major vein or artery is functionally impaired?
Collateral circulation
What vein in the coronary circulation lies in the anterior interventricular sulcus and left side of the AV sulcus?
Great cardiac vein
What vein in the coronary circulation lies in the posterior interventricular sulcus?
Middle cardiac vein
What vein in the coronary circulation runs along side the right marginal artery and lies in the right portion of the AV sulcus?
Small cardiac vein
What large vein lies in the AV sulcus on the posterior side of the heart and drains into the right atrium?
Coronary sinus
What blood vessels returns blood from the lower limbs, pelvis, perineum, and abdominal structures to the right atrium of the heart?
Inferior vena cava
What blood vessels returns blood from the upper limbs, head, neck, and thoracic structures to the right atrium of the heart?
Superior vena cava
What coronary blood vessel empties into the right atrium of the heart?
The coronary sinus
Veins that drain the head, neck, and upper limbs merge to form what vessels?
Left and right brachiocephalic veins
The convergence of the internal jugular vein and the subclavian vein forms what vein?
Brachiocephalic vein
The convergence of the brachiocephalic veins forms what vein?
Superior vena cava
What system of veins drains the posterior abdominal and thoracic walls?
Azygos system
What vein carries blood from the posterior abdominal and thoracic walls into the superior vena cava?
Azygos vein
The umbilical vein enters the body of the fetus through the umbilicus and goes to the liver. There it delivers some blood to the liver. The remainder of the blood is taken to the inferior vena cava by what blood vessel?
Ductus venosus
What structure allows blood to be shunted from the right atrium to the left atrium of the fetus thus shunting this blood away from the lungs?
Foramen ovale
The foramen ovale becomes what structure after birth?
Fossa ovalis
What structure shunts blood from the pulmonary trunk to the aorta of the fetus?
Ductus arteriosus
The ductus arteriosus becomes what structure after birth?
Ligamentum arteriosum
What structure collects lymph from the right upper extremity, the right side of the head and neck, and the right side of the thorax and returns it to the blood at the junction of the right internal jugular vein and the right subclavian vein?
Right lymphatic duct
What structure collects lymph from the left side of the head and neck, left upper extremity, left thorax and all body regions inferior to the diaphragm?
Thoracic duct
What rounded, saclike structure lies at the base of the thoracic duct?
Cisterna chyli