Heart Anatomy and Septal Defects

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Questions and Answers

What is the primary function of the serous fluid in the pericardial cavity?

  • To facilitate the pumping action of the heart
  • To reduce friction between the heart and the pericardial sac (correct)
  • To store blood during cardiac relaxation
  • To provide structural support to the heart

Which of the following best describes the transverse pericardial sinus?

  • It is located behind the left atrium and anterior to the right atrium.
  • It is situated between the pulmonary artery and aorta in the pericardial cavity. (correct)
  • It is the space located between the pericardial cavity and the diaphragm.
  • It is a slit-like space found between the left and right atria.

What is the oblique pericardial sinus primarily associated with?

  • Reducing pressure in the pericardial cavity
  • Providing a pathway for the superior vena cava
  • Blocking blood flow from the inferior vena cava during surgery (correct)
  • Clamping blood flow from the aorta during surgery

What structure is continuous with the visceral layer of the serous pericardium?

<p>The heart wall (A)</p> Signup and view all the answers

Which anatomical feature allows for the insertion of fingers during surgical procedures in the transverse sinus?

<p>The gap at the reflection of the visceral layer (C)</p> Signup and view all the answers

What is the primary role of the sinoatrial node in the conducting system of the heart?

<p>Sets the basic heart rate as the heart's pacemaker (D)</p> Signup and view all the answers

Which structure conducts impulses from the atria to the ventricles while also causing a slight delay?

<p>Atrioventricular node (C)</p> Signup and view all the answers

Which of the following components is not part of the conducting system of the heart?

<p>Coronary sinus (D)</p> Signup and view all the answers

What is the order of impulse conduction through the components of the conducting system starting from the sinoatrial node?

<p>Sinoatrial node → Atrioventricular node → Atrioventricular bundle (B)</p> Signup and view all the answers

Which component of the conducting system is primarily responsible for initiating a ventricular contraction?

<p>Purkinje fibers (C)</p> Signup and view all the answers

What function do the internodal fibers serve in the heart's conducting system?

<p>Conduct impulses from the sinoatrial node to the atrioventricular node (B)</p> Signup and view all the answers

How do the left and right bundle branches function in the heart's conduction system?

<p>They carry impulses towards the ventricles after the atrioventricular bundle (D)</p> Signup and view all the answers

What happens to the heart's rhythm if all nerve connections to the heart are severed?

<p>The heart continues to beat rhythmically (D)</p> Signup and view all the answers

Which vein is primarily responsible for draining almost all venous blood from the heart to the right atrium?

<p>Coronary sinus (C)</p> Signup and view all the answers

Where do the anterior cardiac veins typically drain?

<p>Directly into the right atrium (A)</p> Signup and view all the answers

What is the primary function of the smallest cardiac veins?

<p>Connecting capillary beds of the myocardium to the atria (A)</p> Signup and view all the answers

Which layer of the pericardium provides a strong outer coat that holds the heart in place?

<p>Fibrous pericardium (C)</p> Signup and view all the answers

What is the composition of the serous pericardium?

<p>Double-layered sac sandwiched between fibrous pericardium and the heart (D)</p> Signup and view all the answers

Which vein runs along the heart's inferior margin?

<p>Small cardiac vein (A)</p> Signup and view all the answers

How does the fibrous pericardium contribute to heart function?

<p>Holds the heart in place and prevents overfilling (D)</p> Signup and view all the answers

What role do the smallest cardiac veins play in the cardiovascular system?

<p>They provide direct communication with the heart chambers (A)</p> Signup and view all the answers

What structure in the interatrial septum is a remnant of the embryonic foramen ovale?

<p>Fossa ovalis (B)</p> Signup and view all the answers

Which part of the interventricular septum is known to contain no myocardium?

<p>Membranous part (D)</p> Signup and view all the answers

In the presence of a patent foramen ovale, blood may flow between which two sections of the heart?

<p>Left atrium to right atrium (A)</p> Signup and view all the answers

What is the primary defect in the interventricular septum that is commonly associated with congenital heart diseases?

<p>Membranous septal defect (B)</p> Signup and view all the answers

Which structure is located in the deep endocardium of Koch's triangle?

<p>Atrioventricular node (C)</p> Signup and view all the answers

What occurs when arterial blood enters the left atrium but passes through a patent foramen ovale?

<p>It mixes with venous blood in the right atrium (B)</p> Signup and view all the answers

What can result from significant defects in the septum of the heart, such as a patent foramen ovale or a ventricular septal defect?

<p>Decreased oxygen delivery to tissues (B)</p> Signup and view all the answers

Which part of the cardiac septum primarily prevents the mixing of arterial and venous blood?

<p>Interatrial septum (A)</p> Signup and view all the answers

What artery typically supplies the majority of the diaphragmatic surface of the heart?

<p>Right coronary artery (B)</p> Signup and view all the answers

Which artery is involved in the supply of the anterior walls of both ventricles?

<p>Anterior interventricular artery (C)</p> Signup and view all the answers

In which percentage of individuals is the left coronary artery dominant?

<p>10% (A)</p> Signup and view all the answers

Which structure returns almost all the venous blood from the heart to the right atrium?

<p>Coronary sinus (C)</p> Signup and view all the answers

From where do the right and left coronary arteries arise?

<p>Base of the aorta (B)</p> Signup and view all the answers

Which artery provides blood supply to the left atrium and the posterior part of the left ventricle?

<p>Circumflex artery (B)</p> Signup and view all the answers

What is defined by which artery gives rise to the posterior interventricular artery?

<p>Coronary dominance (A)</p> Signup and view all the answers

Which vessel branches off the right coronary artery to supply the inferior wall of the left ventricle?

<p>Posterior left ventricular branches (D)</p> Signup and view all the answers

Flashcards

Interatrial septum

The wall that separates the left and right atria of the heart.

Fossa ovalis

A small, oval depression in the interatrial septum, a remnant of the fetal foramen ovale.

Patent foramen ovale (PFO)

A condition where the foramen ovale fails to close after birth, allowing blood to flow between the atria.

Koch's triangle

A triangular region in the interatrial septum where the atrioventricular (AV) node is located.

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Interventricular septum

The wall that separates the left and right ventricles of the heart.

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Membranous part of the interventricular septum

A part of the interventricular septum that contains no heart muscle tissue.

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Muscular part of the interventricular septum

A part of the interventricular septum made of thick, strong heart muscle.

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Ventricular septal defect (VSD)

A condition where there is a hole in the interventricular septum, allowing blood to flow abnormally between the ventricles.

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Cardiac conduction system

A group of specialized cardiac muscle cells that conduct electrical impulses throughout the heart, coordinating its contractions.

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Sinoatrial (SA) node

A small, crescent-shaped mass of cardiac muscle cells located in the right atrium's wall, near the superior vena cava. It initiates heart contractions.

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Internodal fibers

Fibers that conduct impulses from the SA node throughout the atria, triggering their contraction.

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Atrioventricular (AV) node

A small group of cells located at the junction of the atria and ventricles, receiving impulses from the SA node.

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Atrioventricular (AV) bundle

Divides into left and right bundle branches, carrying the electrical signal to the ventricular walls.

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Left and right bundle branches

Branching fibers that distribute the electrical signal to the left and right ventricles, leading to their contraction.

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Purkinje fibers

Terminal fibers of the conduction system that spread the signal to the ventricular muscle cells, triggering their contraction.

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Subendocardial Purkinje fiber network

The network of Purkinje fibers that branch out into the inner layer of the ventricular walls, connecting with the heart muscle.

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Pericardial cavity

The space between the parietal and visceral layers of the serous pericardium, filled with lubricating fluid to reduce friction between the heart and the pericardial sac.

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Pericardial sinus

A reflection point between the parietal and visceral layers of the serous pericardium, creating two distinct spaces in the heart.

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Transverse pericardial sinus

The space in the pericardial cavity, located behind the aorta and pulmonary artery, the superior vena cava, and the anterior wall of the left atrium.

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Oblique pericardial sinus

A space in the pericardial cavity behind the left atrium, the left and right pulmonary veins, the inferior vena cava and the posterior wall of the pericardium.

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Serous pericardium

The double-layered membrane that surrounds the heart, playing a crucial role in protecting and lubricating it.

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Coronary Sinus

The largest vein that collects blood from the heart and delivers it to the right atrium. It's located in the posterior part of the coronary groove.

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Small Cardiac Vein

A vein running along the heart's inferior margin, draining into the coronary sinus.

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Great Cardiac Vein

A vein located in the anterior interventricular groove, draining into the coronary sinus.

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Middle Cardiac Vein

A vein located in the posterior interventricular groove, draining into the coronary sinus.

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Anterior Cardiac Veins

Small veins on the right ventricle's anterior surface, typically draining into the right atrium or the small cardiac vein.

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Smallest Cardiac Veins

Minute vessels beginning in capillary beds of the myocardium, connecting directly to the heart chambers. They may carry blood from the heart chambers to the myocardium and provide collateral circulation.

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Pericardium

A protective sac surrounding the heart, composed of fibrous pericardium (outer) and serous pericardium (inner).

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Fibrous Pericardium

The outer layer of the pericardium, composed of dense connective tissue. It anchors the heart and prevents overfilling.

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What is the heart's blood supply?

The heart's blood supply, delivered by the right and left coronary arteries, provides nourishment to the heart walls.

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What are the two branches of the left coronary artery?

The anterior interventricular artery, which descends towards the heart's apex, and the circumflex artery, which encircles the heart posteriorly.

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What areas does the anterior interventricular artery supply?

The anterior interventricular artery supplies the interventricular septum and the anterior walls of both ventricles.

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What areas does the circumflex artery supply?

The circumflex artery supplies the left atrium and the posterior part of the left ventricle.

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Describe the path and supply of the right coronary artery.

It emerges from the right side of the aorta and descends on the anterior wall of the heart, between the right atrium and right ventricle. It supplies the right atrium and almost all of the right ventricle.

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What defines coronary artery dominance?

The dominance refers to which artery, either the right or left coronary artery, supplies the posterior interventricular artery.

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What is the coronary sinus and its function?

The coronary sinus, situated in the posterior part of the coronary sulcus, collects venous blood from the heart and returns it to the right atrium.

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What are the veins of the heart?

The heart veins include the coronary sinus, anterior cardiac veins, and the smallest cardiac veins, which carry deoxygenated blood away from the heart.

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Study Notes

Heart Septa

  • The cardiac septum has two parts: interatrial septum and interventricular septum
  • The interventricular septum further divides into membranous and muscular parts
  • The interatrial and interventricular septa prevent blood flow between the left and right sides of the heart
  • The fossa ovalis is a remnant of the embryonic foramen ovale
  • A patent foramen ovale is a congenital heart defect
  • Koch's triangle is a triangular region in the interatrial septum, containing the atrioventricular node

Interatrial Septum Defects

  • Defects in the interventricular septum often occur in the membranous septum due to its lack of myocardium
  • Blood flow between the left and right sides of the heart can happen due to patent foramen ovale or ventricular septal defect
  • This mixing of oxygenated and deoxygenated blood reduces the amount of oxygen in the blood delivered to the tissues, causing hypoxia

Conducting System of the Heart

  • Modified cardiac muscle cells within the heart have the ability to generate and conduct impulses
  • This allows the heart to contract rhythmically without nerve impulses
  • The sinoatrial node (SA node) sets the heart rate
  • The atrioventricular (AV) node delays impulses before passing them to the ventricles
  • The impulses are then conducted through the AV bundle, left and right bundle branches, and Purkinje fibers
  • This ensures proper sequential contraction of the heart chambers

Coronary Arteries

  • The coronary arteries supply blood to nourish the heart muscles
  • The left coronary artery divides into the anterior interventricular artery and circumflex artery
  • The right coronary artery branches into the right marginal artery and posterior interventricular artery
  • The dominance of the coronary artery system is determined by which artery supplies the posterior interventricular artery

Coronary Veins

  • The coronary veins collect deoxygenated blood from the heart
  • The coronary sinus is the largest vein, returning most of the venous blood to the right atrium
  • The coronary sinus receives blood from the great cardiac vein, middle cardiac vein, and small cardiac vein

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