Lecture 2: Positon of Heart Flashcards Preview

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Flashcards in Lecture 2: Positon of Heart Deck (47):
1

where does the heart lie within the thorax?

lies in the mediastinum (partitioned b/w L and R pleura)
usually covered by 3-6th ICS
dorsal boundary = horizontal plane through 1st rib
caudal boundary = dome of diaphragm
ventral boundary = sternum
majority of heart lies to the LEFT

2

how does the long axis of the heart lie in horses, ruminants and dogs/cats

vertical in horse
almost vertical in ruminant
progressively oblique in pig, dog and cat

3

describe the size of the heart

approx 0.6% total BW
post natally heart increases by hypertrophy (increase in cell size)
comparative aspects = globular in small animals, cone shape in horse and ruminant

4

describe the shape of the heart

slight flattened cone
base = most dorsal part
great veins emerge form base, great arteries leave from base

apex = tapered portion of the cone, formed by the left ventricle

long axis = extend from base to apex

5

what is the pericardium?

serous sac enclosing the heart
made from simple squamous mesothelium

6

what are the 4 major functions of the pericardium

1. protective sac
2. maintain heart position
3. minmise friction during cardiac cycle
4. prevent over distention of the heart

7

what is the lubricant within the pericardial cavity?

pericardial fluid

8

what are the two layers of pericardium?

visceral - inner, coats heart
parietal - neck of sac continues to utter wall, external surface reinforced by strong layer of fibroelastic tissue.

9

what ligaments anchor the pericardium in position ventrally and caudally in horses, ruminants, pigs?

ruminants - paired sternopericardiac ligament = from pericardium to sternum
horse - single midline sternopericardiac ligament
carnivores, pigs = attach to diaphragm as phrenico-pericardiac ligament

10

what is the pericardial attachment to the thoracic wall?

through the cardiac notch - a gap through the ventral boarder between left and right lung
good acoustics here

11

What chambers make up the base of the heart?

thin walled atria

12

what does the coronary groove demarcate and what does it contain ?

atria from the ventricles (often concealed by fat) contains the main coronary vessels

13

what is an auricle?

free appendage/diverticulum

14

what is the left surface of the heart called and why?

the auricular surface - because can see both left and right auricles

15

what internal structure seperates the right and left internal chambers?

the inter ventricular septum, marked externally by the inter ventricular groove (L & R)

16

are the cranial and caudal boarders of the heart concave or convex?

(RV) cranial - convex
(LV) caudal - species dependent
horse = almost straight
carnivore = slightly convex
ruminant = slightly concave

17

what are the four main openings of the right atrium

1. cranial vena cava - drains head, neck and forelimbs
2. caudal vena cava - drains abd organs and hindlimbs
3. coronary sinus - return venous blood from heart
4. right atrioventricular orifice - transfer blood from RA to RV.

18

what is the role of the right atrium?

principle systemic venous discharge

19

the azygous vein may also drain into the right atrium, if a species has an azygous vein what does it drain?

blood from lumbar region,
caudal 3/4 of thoracic wall
bronchial circulation
oesophagus

20

which species has a L azygous vein only?

pig - opens into coronary sinus

21

which species have a R azygous vein only?

carnivores and horses. Sometimes pig's

22

which species have both L and R azygous veins

ruminants

23

describe the internal surface of the right auricle

interlaced with pectinate muscles

24

what is the function of pectinate muscles

additional strength
cut down turbulence
- auricle acts as reservoir for blood

25

what are the vestiges of foetal circulation in the right atrium?

foramen ovale - hole between left and right atria, closes post natally and becomes fossa ovalis.

fossa ovalis - depression on intertrial septum at opening of caudal v. c

intravenous ridge - transverse arch projecting from atrium b/w cranial and caudal v. c into the ventricle

26

what is the opening between the right atrium and the right ventricle, what is it composed of and how is it tethered to the wall of the ventricle?

- tricuspid valve
- x3 thin flap collagen fibre cusps
- tethered by chord tendineae arising from papillary muscles.

27

what is the tubercular carnae?

irregular surfaced channel like ridges preventing blood turbulence
inside the right ventricular cavity

28

how many and where do the papillary muscles of the ventricle arise?

x3 papillary muscles
- x2 arise from the interventriculum septum
- x1 great pap muscle arise from the outter venticular wall

29

what is the conus arteriosus?

a funnel shaped outflow channel, directing blood from the right ventricle into the pulmonary trunk

30

what are two distinct features of the conus arterioles?

contains no papillary muscles
contains no tubercular carnae

31

what valve seperates the pulmonary artery from the right ventricle?

the pulmonary semilunar valves

32

why is the wall of the right ventricle thinner than the left ventricle?

right ventricle is pumping blood into the pulmonary circulation which has a lower pressure system

33

what blood does the left atrium receive?

oxygenated blood from the lungs via the pulmonary veins

34

what are the main openings of the left atrium?

- usually x6 pulmonary veins (2 from L, 4 from R Lung)
- small coronary veins
- left AV orifice

35

what guards the left atrium and left ventricle?

the bicuspid/mitral valve

36

how many papillary muscles are in the left ventricle and where do they arise from?

x2 papillary muscles, both arising from the outer wall of the left ventricle

37

what seperates the aorta from the left ventricle?

the aortic semilunar valve.

38

what are the aortic sinus' and what arises from them?

aortic sinus = at the root of the aorta, buldges of the aortic semilunar valves.
left coronary artery arises from the left aortic sinus
R coronary artery from the R aortic sinus
remaining middle sinus = septal sinus

39

how does the internal structure of the left ventricle differ from the right?

left ventricle contains a thicker, larger transverse traberculae septomarginalis
-inflow channels v irregular due to strong pap muscle
-outflow channel smooth

40

where does the aorta come from and what are the three main segments?

aorta is the main systemic arterial trunk delivering oxygenated blood
the aorta arises from the LV
divided into
1. ascending arch
2. aortic arch
3. descending arch

41

direction of the ascending aorta

passes dorsally and cranially b/w pulmonary trunk on its left and right atrium on its right
supplies blood to wall of heart
left coronary artery originates from left aortic sinus and right coronary artery from right aortic sinus

42

direction of aortic arch

starts when aorta makes u-turn, dorso-caudally
penetrating pericardium and ascending within mediastinum to reach left ventral aspect of the 7th thoracic vertebrae

43

direction of descending aorta

extends caudally along dorsal body wall
divided into
1. thoracic part - supplies blood to thorax
2. abdominal part - supplies abd wall and organs

44

what are the two major branches of the aortic arch (in dog)

1. brachiocephalic artery
2. left subclavian artery

45

describe the direction of the brachiocephalic trunk?

larger than the left subclav
passes obliquely to the right and cranially across
ventral surface of the trachea

46

what arises from the brachiocephalic trunk?

left common carotid
right common carotid
right sub clavian artery

47

what arises from the left and right subclavian arteries?`

1. the vertebral artery = supplies cervical muscles, spinal cord and brain
2. the costocervical artery - supplies the 1-3 intercostal space, muscles at the base of the neck and muscles of the thoracic vertebrae
3. internal thoracic artery - supplies thoracic wall
4. superficial cervical artery - supplies base of neck, and adjacent scapular region.
continues as the axillary artery