Lecture 21: Heart and Great Vessels Flashcards

1
Q

Where is the heart located?

A

middle inferior mediastinum within in the pericardial cavity

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2
Q

What is the transverse sinus?

A

space between arterial and venous mesocardium

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3
Q

What is the oblique sinus?

A

space between right and left pulmonary veins

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4
Q

What is the blood supply of the pericardium?

A

pericardial arteries
pericardiacophrenic arteries
musculophrenic arteries

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5
Q

What is the nerve supply of the pericardium?

A

CN X
phrenic nerve
sympathetic nerve

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6
Q

Where does the apex of the heart project?

A

5th intercostal space

8 cm to left of median line of sternum

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7
Q

Where does the base of the heart project?

A

horizontal plane across sternum
level of costal cartilage 3
ends 2 cm to left of left parasternal line

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8
Q

What is the thickest layer of the heart?

A

myocardium

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9
Q

what are the functions of the annuli fibrosi?

A
  • Rigid attachment for cardiac muscle fibers

* Support for valves

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10
Q

What is the blood supply to the heart?

A

right coronary artery, left coronary artery

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11
Q

What does the right coronary artery supply?

A

right atrium
right ventricle
posterior half of inter ventricular septum

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12
Q

What does the left coronary artery supply?

A

left atrium
left ventricle
anterior half of inter ventricular septum

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13
Q

Where does the right atrium receive blood from?

A

Superior vena cava
• Inferior vena cava
• Coronary sinus
• Anterior cardiac veins

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14
Q

Where is the moderator band located

A

right ventricle

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15
Q

Where does the left atrium receive blood from?

A

from four pulmonary veins

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16
Q

What is referred to as the pacemaker of the heart?

A

sinoatrial node

17
Q

Where is the SA node located?

A

right atrium near opening of SVC at superior end of sulcus terminals

18
Q

The SA node receives direct stimulation from what?

A

sympathetic cardiac nerves

parasympathetic vagus nerves

19
Q

Where is the AV node located?

A

interatrial septum near tricuspid valve

20
Q

What are the two branches off the ascending aorta?

A

left and right coronary arteries

21
Q

Where is the position of the aortic arch?

A

arches to the left over left pulmonary after, apex of arch reaches the middle of the manubrium

22
Q

What are the three main branches of the aorta?

A

brachiocephalic
left common carotid
left subclavian

23
Q

What are the anterior relationships of the arch of the aorta?

A

left phrenic nerve
left vagus nerve
superficial cardiac plexus

24
Q

What are the inferior relationships of the arch of the aorta?

A

left recurrent laryngeal nerve
ligamentum arteriosum
pulmonary trunk
left primary bronchus

25
What are posterior relationships of the arch of the aorta?
trachea | left recurrent laryngeal nerve
26
The descending aorta begins at the level of the ______ angle
sternal
27
What forms the right brachiocephalic vein?
right internal jugular | right subclavian
28
What is the tributary of the right brachiocephalic vein?
right internal intercostal vein
29
What forms the left brachiocephalic vein?
left internal jugular | left subclavian
30
What are the tributaries of the left brachiocephalic vein?
left internal thoracic left superior intercostal inferior thyroid vein
31
What forms the superior vena cava?
right and left brachiocephalic vein
32
What receives the superior vena cava?
azygos vein
33
What does the azygos vein form from in the abdomen?
right subcostal vein | right ascending lumbar vein
34
What does the hemiazygos vein form from in the abdomen?
left subcostal vein | lest ascending lumbar vein
35
What does the accessory hemiazygos vein drain?
intercostal spaces 4-7(8) on left side