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transcript
Heart and Pericardium
Assoc. Prof. Jenny Hayes
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Objectives • The arrangement of the fibrous and serous layers of
pericardium • The major anatomical features of each chamber of the heart
and their functional significance • The structure and position of the atrioventricular and semilunar
valves and their role in prevention of regurgitation • The origin, course and main branches of the coronary arteries
and the functional consequences of their obstruction
Suggested pre-reading Gray’s Anatomy for Students: Regional anatomy of Middle mediastinum, Chapter 3, Thorax, p. 177-204, 2nd ed. OR Clinicall y Orientated Anatomy, Moore: Overview of Mediastinum, Pericardium and Heart, Chapter 1, Thorax, p.127-159, 6th ed.
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #200
Heart in pericardial sac
diaphragm
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page54
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page55
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page 60
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page 61
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #208A
Inferior vena cava
Superior Vena Cava
thin wall
Coronary sinus
Tricuspid valve between R atrium and R ventricle
musculi pectinati
crista terminalis
sinus venarum
fossa ovalis
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #208B
thicker wall
tricuspid valve
pulmonary trunk
pulmonary valve
trabeculae carnae
conus arteriosus or infundibulum
papillary muscle
chordae tendinae
moderator band
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #209B
left ventricle has thickest wall of all
left atrium
pulmonary veins
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #210B
fibrous skeleton :1 anchors atrial and ventricular muscle masses & electrically isolates them &2 provides attachment for base of each valve cusp
2 rings
2 coronets 2 trigones
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #210B
tricuspid valve: anterior cusp septal cusp posterior cusp
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #208B
cusp
chordae tendinae
papillary muscle
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page72
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #210A
pulmonary valve
aortic valve
a L
R
L R p
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #210B
pulmonary valve
aortic valve
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #211A
origin of R coronary artery
aortic sinus
R cusp of aortic valve
origin of L coronary artery
aortic sinus
L cusp of aortic valve
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #213A
SA node
AV node bundle of His
R bundle branches
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #213B
L bundle branches
Netter, F.H. Interactive Atlas of Human Anatomy. 3rd ed. New Jersey, Icon Learning Systems, 2003, ISBN: 1-929007-15-9, Plate #214
The cardiac plexus is situated at the base of the heart and is divided into a superficial and deep part. It receives branches from the vagus and sympathetic trunks.
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page57
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page 83
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page 83
Moore K L. Clinically Oriented Anatomy. 2nd ed. Williams and Wilkins; 1985. ISBN 0683061321. Ch.1 Page 65
Relevant museum specimens displayed in the Thorax Bay (beneath windows) • 516-100229, a series of foetal hearts • 516-100225,oblique section through heart of child, aged 18months • 516-102474 , dissection of the heart and airways • 516-100234 , a heart • 516-100107, right atrium and ventricle exposed • 516-100108, interior of left ventricle • 516-100220, a dissection of left ventricle • 516-100223, sections of the heart • 516-100215, a dissection of right ventricle • 516-102487 & 102488, human aortic valve • 516-500001, resin cast • 516-100207, heart-in-situ (plinth) • 516-102491, heart with coronary arteries dissected Images and information on these specimens can also be accessed via the museum database: http://mdhs.unimelb.edu.au/harrybrookesallenmuseum/catalogue There are also plastinated and model hearts available on the shelving. An excellent pre-workshop and pre-dissection resource is Acland’s anatomy:
http://www.aclandanatomy.com.ezp.lib.unimelb.edu.au/