ANATOMY OF HEART
HUMAN HEART
- The human heart is an organ that pumps blood throughout the body via the circulatory system, supplying oxygen and nutrients to the tissues and removing carbon dioxide and other wastes.
- The human heart is situated in the middle mediastinum, at the level of thoracic vertebrae T5-T8.
- The base of the heart is located along the body’s midline with the apex pointing toward the left side.
- Base (posterior surface) of the heart is formed mainly by Left atrium & small part by right atrium.
- Because the heart points to the left, about 2/3 of the heart’s mass is found on the left side of the body and the other 1/3 is on the right.
Weighs:
- in men– between about 10 to 12 ounces (280 to 340 grams)
- in women– 8 to 10 ounces (230 to 280 grams)
- The human heart has four chambers: two upper chambers (the atria) and two lower ones (the ventricles).
- The heart’s outer wall consists of three layers.
- The outermost wall layer, or epicardium, is the inner wall of the pericardium.
- The middle layer, or myocardium, contains the muscle that contracts.
- The inner layer, or endocardium, is the lining that contacts the blood.
- The tricuspid valve and the mitral valve make up the atrioventricular (AV) valves, which connect the atria and the ventricles.
- The pulmonary semi-lunar valve separates the right ventricle from the pulmonary artery, and the aortic valve separates the left ventricle from the aorta.
- The heartstrings, or chordae tendinae, anchor the valves to heart muscles.
- Right side of mediastinal shadow is formed by SVC/ Right brachiocephalic vessels,IVC and Right atriumRight atrium,Superior vena cava,Inferior vena cava are seen on the right side of the cardiac silhouette in chest X-ray.Normal Axis of the heart is best described as being between – 30 to +90.
BORDERS & SURFACES OF HEART
BORDERS |
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RIGHT BORDER |
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LEFT BORDER (Obtuse margin) |
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INFERIOR BORDER (Acute margin) |
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UPPER BORDER |
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APEX |
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SURFACES |
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ANTERIOR (Sternocostal Surface) |
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INFERIOR (Diaphragmatic Surface) |
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BASE (Posterior surface) |
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RIGHT SURFACE |
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LEFT SURFACE |
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GROOVES (Sulci) OF HEART
A. ATRIOVENTRICULAR GROOVE:
- Atria are separated by ventricles by atrioventricular Sulcus (atrioventricular groove, also called coronary sulcus).
- It is divided into anterior & posterior parts.
- The right half of anterior part is large & lodges right coronary artery.
- Left half of anterior part is small & lodges circumflex branch of left coronary artery.
- Posterior part of coronary sulcus contains coronary sinus & great cardiac vein.
B. INTERVENTRICULAR GROOVES
- Right & left ventricles are separated by interventricular grooves.
- Anterior interventricular groove is nearer to left margin of heart & contains anterior interventricular artery (also called left anterior descending artery) & great cardiac vein.
- Posterior interventricular groove is situated on diaphragmatic (inferior) surface.
- It contains posterior interventricular artery (continuation of RCA) & middle cardiac vein
BORDERS |
|
RIGHT BORDER |
|
LEFT BORDER (Obtuse margin) |
|
INFERIOR BORDER (Acute margin) |
|
UPPER BORDER |
|
APEX |
|
SURFACES |
|
ANTERIOR (Sternocostal Surface) |
|
INFERIOR (Diaphragmatic Surface) |
|
BASE (Posterior surface) |
|
RIGHT SURFACE |
|
LEFT SURFACE |
|