Pericardium and Heart-Anatomy

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Created by:

hoorayschool  on September 29, 2012

Subjects:

umkc sod 2016

Description:

test 2

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Pericardium and Heart-Anatomy

The pericardium is a
fibrous sac surrounding the heart and roots of the
great vessels.
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Definitions

The pericardium is a fibrous sac surrounding the heart and roots of the
great vessels.
The fibrous pericardium fuses superiorly with the adventitia of SVC, ascending aorta, and
pulmonary arteries
The pericardium is fused inferiorly with
the
central tendon of the diaphragm.
the pericardium is largely overlapped by the two pleural sacs and lungs
Where the pleural sacs deviate, it
contacts the
posterior surface of the sternum and 4th and 5th left intercostal spaces.
Laterally, the mediastinal pleura
drapes over the surface of the
pericardium sandwiching the:
phrenic nerve and pericardiacophrenic
artery and vein
Posteriorly, pericardium contacts
the:
esophagus, descending thoracic aorta, and main bronchi
Layers of Pericardium -outer layer of dense connective tissue called
the fibrous pericardium.
-inner serous part that includes a parietal layer and a visceral layer
The serous part is in the form of an enclosed sac with a potential space between the parietal and visceral layers called the pericardial cavity
The fibrous pericardium is inelastic and functions to retain the heart in position and limit its distension
The parietal layer of the serous
pericardium is
closely adherent
to the fibrous pericardium.
The visceral layer of the serous
pericardium is more
loosely bound to the heart and is also
called the epicardium
Under the epicardium is loose connective tissue containing fat
and blood vessels(coronaries).
The heart is completely invested in epicardium except the posterior, irregular area between the venae cavae and pulmonary vv. where myocardium contacts fibrous pericardium.
Pericardial sinuses Spaces created during development when the heart and pericardium folds up
Sinus between the pulmonary veins oblique pericardial sinus
Sinus between arteries and veins transverse pericardial sinus
Blood supply to the pericardium
is via the
ericardiacophrenic arteries, musculophrenic
arteries, branches of the thoracic aorta (bronchial, esophageal, and superior phrenic) and coronary
arteries (to visceral layer only)
Venous drainage of pericardium is via pericardiacophrenic vv, internal thoracic vv., and tributaries of the azygos system.
Somatic sensory innervation to the
fibrous and parietal layers is via the
phrenic nerves
Visceral sensory to the
epicardium is via the
cardiac plexuses (the epicardium is insensitive to pain)

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