The pericardium and the pericardial sinuses

• Introduction Component parts Fibrous pericardium• Attachments• Structures Piercing• Relations

• Serous Pericardium• Sinuses Of Pericardium• Transverse Sinus• Oblique sinus• Vascular and Nerve supply• Applied Anatomy

Situation of Pericardium

Pericardium

Inner Serous layer

Inner visceralOuter

Parietal

Outer Fibrous layer Single Layer

Component Parts

Attachments

Anterior Relations

Relations and Structure Piercing Pericardium

Vascular supply:

Arterial Supply-Fibrous and Parietal Pericardium - internal thoracic Artery, Descending thoracic aorta

Visceral Pericardium- coronary arteries

Venous Drainage- Fibrous and Parietal Pericardium- Azygous & internal thoracic vein

Visceral Pericardium- drain into coronary sinus

Nerve supply –

Fibrous and Parietal Pericardium- Phrenic nerve

Visceral Pericardium – Vagus and sympathetic nerves

Pericarditis

PERICARDIAL EFFUSION

Cardiac Tamponade and Pericardiocentesis

Surgical Significance of Transverse Pericardial Sinus

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