valves Flashcards

1
Q

whats the name of the fibrous ring that surrounds AV canals?

A

fibrous skeleton of the heart

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2
Q

whats the origin of aorta and pulmonary trunk and give them support?

A

fibrous skeleton of the heart

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3
Q

what forms the connection between the fibrous skeleton rings?

A

right and left trigones

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4
Q

what forms the membranous part of the interventricular septum?

A

fibrous skeleton

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5
Q

whats the function of the skeleton of the heart?

A

1- keeps the AV and SL valves patent during contractions

2- provide attachments for myocardium and valves cusps

3- act as an insulator to make sure that the only pathway between atrium and ventricle is AV node

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6
Q

whats tricuspid orifice?

A

large oval aperture connecting the right atrium and right ventricle

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7
Q

whats special about it compared to mitral orifice ?

A

its wider fits 3 fingers ( cusps )

mitral only two

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8
Q

what surrounds the tricuspid orifice and provide attachment for the cusps?

A

fibrous skeleton of the heart

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9
Q

whats the level of the tricuspid valve?

A

4th intercostal space

its auscultated at left sternal border

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10
Q

how many cusps and what are their locations?

A

3 cusps :

anterior

posterior

septal cusp

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11
Q

what is the smooth and rough surface of tricuspid valve?

A

the atrial surface is smooth

the ventricular surface is rough

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12
Q

why is the ventricular surface is rough?

A

because it has attachments for papillary muscles and chordae tendineae

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13
Q

which part of the tricuspid valve is vascular?

A

the circumference of it is vascular but THE OTHER PART ARE AVASCULAR CUZ ITS FIBROUS TISSUE

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14
Q

whats definition of mitral orifice?

A

aperture connecting the left atrium with the left ventricle and its 2 fingers

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15
Q

whats the level mitral valve?

A

left 4th costal cartilage

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16
Q

how many cusps and whats their location?

A

anterior –> larger

posterior –> smaller

17
Q

what does the mitral cusps consist of?

A

double layer of endocardium with thin fibrous tissue

18
Q

whats its smooth part and rough part

A
  • smooth —–> atrial surface
  • ventricular —-> rough cuz it has attachment for chordae tendinae
19
Q

whats special about the chordae tendinae in mitral?

A

only 2 so fewer and stronger.

20
Q

what are the cusps of the aortic valve ?

A

3 cusps

1- Anterior –> Right coronary artery

2 posterior –> left coronary artery from the left posterior cusp

21
Q

what are cusps of the pulmonary valve? ?

A

3 cusps

1 posterior

2 anterior

22
Q

whats the name of thickening that forms the edge of a cusp?

23
Q

whats the name of the angulated apex and its central??

A

fibrous nodule

24
Q

whats a cusps sinus?

A

its like a bag كيس , when the blood backflows it will push the 3 sinus together to close the valve .and when the blood ejects from the ventricle it will push the sinuses away from each others to open them below

25
where does the right coronary artery originate from?
anterior cusp
26
where does the left coronary artery originate from?
posterior left cusp
27
wheres point A when trying to form the border of the heart?
Left 2nd costal cartilage 1.5 inches from the median plane
28
wheres point B when trying to form the border of the heart?
Right 3rd costal cartilage one inch from the median plane
29
wheres point C when trying to form the border of the heart?
Right 6th costal cartilage 0.5 inches from the sternal margin
30
wheres point D when trying to form the border of the heart?
apex : left 5th intercostal space 3.5 inches from the median plane
31
what border does point A-B form
upper border
32
what border does point B-C form
right border
33
what does point A-D form
left border
34
what point does point C-D form
inferior border
35
whats the anatomical position of mitral valve and ascul location for it?
anatomical --> left 4th costal cartilage ascul ----> apex of the heart
36
whats the anatomical position of tricuspid valve and ascul location for it?
anatomical -------> left 4th intercostal space ascul ---> inferior left border of the sternum
37
whats the anatomical position of pulmonary valve and ascul location for it?
anatomical ----> left 3rd costal cartilage ascul ---> left 2nd intercostal space
38
whats the anatomical position of aortic valve and ascul location for it?
anatomical --------> right 3rd intercostal space ascul --> right 2nd intercostal space