What is the relevant clinical anatomy of the heart? Flashcards

1
Q

Where do the phrenic nerves descend across?

A

The lateral borders of the pericardium

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2
Q

What is it called if the pericardial cavity fills with blood?

A

Haemopericardium

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3
Q

Anterior surface of the heart is covered by invisible layer of ———-

A

epicardium

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4
Q

What does the epicardium secrete?

A

Pericardial fluid lubricant

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5
Q

Where is the pericardial cavity?

A

between the two layers of the pericardial cavity

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6
Q

How is pericardiocentesis performed?

A

Needle is inserted via infrasternal angle and directed superoposteriorly, aspirating continuously

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7
Q

What is the transverse pericardial sinus?

A

a “space” within the pericardial cavity, posterosuperiorly

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8
Q

Where does the transverse pericardial sinus lie?

A

lies posterior to the ascending aorta and pulmonary trunk

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9
Q

What are the three clinically important surfaces of the heart?

A

anterior (sternocostal) surface
base (posterior) surface
inferior (diaphragmatic) surface

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10
Q

What are the two clinically important borders of the heart?

A

right border

left (lateral) border

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11
Q

What is the function of the coronary sinus?

A

short venous conduit which receives deoxygenated blood from most of the cardiac veins and drains into the right atrium

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12
Q

How does the pump ensure unidirectional flow?

A

Unidirectional valves

  • pulmonary valves
  • tricuspid valve
  • aortic valve
  • mitral (bicuspid valve)
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13
Q

Describe the pulmonary valve?

A

has anterior right & left cusps

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14
Q

Describe the aortic valve?

A

has right, left & posterior cusps and sinuses (spaces within cusps)

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15
Q

describe the tricuspid valve?

A

has anterior, posterior & septal cusps

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16
Q

describe the mitral valve?

A

has anterior & posterior cusps

17
Q

where do the coronary arteries arise from?

A

the right & left aortic sinuses respectively

18
Q

What is the moderator band?

A

(septomarginal trabecula): carries fibres of right bundle branch to the papillary muscle of the anterior cusp