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Cardio-vascular
continue
By
Prof.Dr.
Manal Elsawaf
Internal features
• Right &left halves
by a median
septum
• Each half :
-atrium
-ventricle
• Atrio-ventriculr
valves
• Semilunar valves
Internal features
• Atrio-ventriculr
valves:
- Tricuspid
- mitral
• Semilunar valves:
-pulmonary
-aortic
Right atrium
• Anterior rough
wall
• Posterior
smooth wall
Anterior wall of Rt atrium
• Crista terminalis
- vertical ridge
-Musculi
Pectinati
muscles
posterior wall of Rt atrium
– Formed by the
interatrial septum
– Smooth walls
– Fossa ovalis
– - an oval
depression,
– Limbus fossa
ovalis– prominent
margin of fossa ovalis
Orifices of the Right atrium
Orifices:
• 1. superior vena cava
• 2. inferior vena cava
• 3. coronary sinus -
returns blood to the heart
from the cardiac muscle
• 4.right atrioventricular
orifice (tricuspid)
Right ventricle
• Inflow part
• Outflow part
Inflow part
-receive blood
from Rt atrium
- rough walls
• Trabeculae
carneae -
irregularly
arranged
bundles of
myocardium
• Papillary
muscles -
small conical-
shaped
elevations
Out flow part
(infundibulum)
• cone or funnel
shaped, smooth area
leading upward to
orifice of pulmonary
trunk
• Pumps blood through
pulmonary orifice to
pulmonary trunk
Orifices in Rt ventricle
1.Tricuspid valve
Guards right
atrioventricular orifice
• Three triangular cusps:
attached to
• Chordae tendineae -
fine, white, connective
tissue cords, attach
margin of cusps to
papillary muscles
Orifices in Rt ventricle
2. pulmonary Valve
Guards the orifice of
pulmonary trunk
• Has three semilunar
cusps – each with free
border that has central
nodules of semilunar
valve
Left atrium
Forms the base of the heart and has smooth wall
Left atrium orifices
• four orifices of pulmonary
veins open through the
posterior wall
• left atrioventricular orifice
(mitral valve) blood leaves
through left atrioventricular
orifice to left ventricle
Left ventricle
• Inflow part
• Outflow part
Left ventricle
• Inflow part:
Same as in rt
ventricle
Outflow part:
(aortic vestibule)
Smooth and
fibrous
Left ventricle
orifices
• 1,left atrioventricular
(mitral): formed of two
cusps
• 2. aortic orifice
• 3 cusps one anterior and
two posterior
Left Ventricle
Figure 20–7
Has thick wall
Of circular cross
section
Interventricular septum
Located between right
and left ventricles
• Has upper membranous
part
• Has thick lower muscular
part
Blood supply of the heart
Arterial supply
Right coronary artery
Arises from the anterior
aortic sinus
• Runs into coronary
sulcus
• Branches
– Right marginal
branch - travels
along inferior border
– Posteror
interventricular
branch - travels
downward in
posterior
interventricular
groove,
Arterial supply
Left coronary
artery
• Arises from left
posterior aortic sinus
• Branches
– Anterior
interventricular
branch - in
anterior
interventricular
groove
– Circumflex branch
- travels to left in
coronary sulcus to
Note:
• coronary arteries are functional end
arteries
Venous drainage of the heart
Coronary sinus is a
wide venous channel in
the posterior part of the
coronary sulcus. It
opens in the right
atrium
Circulation
• Pulmonary
• Systemic
• portal
Systemic
Circulation
• Heart →
aorta →
body →
capillaries
→ SVC and
IVC →rt
atrium
Pulmonary
Circulation
• heart →
pulmonary
artery
→lungs
→capillaris
around
alveoli →4
pulmonary
veins →left
atrium
Portal
Circulation
• Heart →
aorta →
intestine →
portal vein
→ liver →
hepatic
veins →
IVC →rt
atrium
intestine
liver
Portal vein
hepatic

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Cardio vascular 202[1]