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Cardiovascular
System
Pericardium
• Central
  compartment
  of thoracic
  cavity
• Contains all
  thoracic
  structures and
  viscera except
  lungs



Mediastinum
Anterior


                     Inferior    Middle
Mediastinum
                     Superior   Posterior




Subdivisions
Subdivided by pericardium
Pericardium      Heart


        Roots of its
        great vessels


Middle mediastinum
Pericardium


      Inner         Outer
      Serous       Fibrous

         Inner
        Visceral

         Outer
        Perietal

Pericardium
Pericardium
• Superiorly – tunica adventitia and
  pretracheal layer of cervical fascia
• Anteriorly – posterior surface of sternum
  with sternopericardial ligament
• Posteriorly – by loose connective tissue to
  structures of posterior mediastinum
• Inferiorly – central tendon of diaphragm


Fibrous Pericardium
• Makes the Epicardium (outermost layer of heart
  wall)
• Continuous with parietal layer, where:
1. Aorta and pulmonary trunk leaves the heart
2. SVC, IVC and pulmonary veins enter the heart
• Transverse pericardial sinus lies between this 2
  groups




Visceral Pericardium
Transverse and Oblique
pericardial sinuses
• Branch of the internal thoracic artery –
  pericardiacophrenic artery
• Musculophrenic
• Bronchial, esophageal and superior phrenic
• Coronary arteries


Arterial supply to
pericardium

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Pericardium

  • 2. • Central compartment of thoracic cavity • Contains all thoracic structures and viscera except lungs Mediastinum
  • 3. Anterior Inferior Middle Mediastinum Superior Posterior Subdivisions Subdivided by pericardium
  • 4. Pericardium Heart Roots of its great vessels Middle mediastinum
  • 5. Pericardium Inner Outer Serous Fibrous Inner Visceral Outer Perietal Pericardium
  • 7. • Superiorly – tunica adventitia and pretracheal layer of cervical fascia • Anteriorly – posterior surface of sternum with sternopericardial ligament • Posteriorly – by loose connective tissue to structures of posterior mediastinum • Inferiorly – central tendon of diaphragm Fibrous Pericardium
  • 8. • Makes the Epicardium (outermost layer of heart wall) • Continuous with parietal layer, where: 1. Aorta and pulmonary trunk leaves the heart 2. SVC, IVC and pulmonary veins enter the heart • Transverse pericardial sinus lies between this 2 groups Visceral Pericardium
  • 10. • Branch of the internal thoracic artery – pericardiacophrenic artery • Musculophrenic • Bronchial, esophageal and superior phrenic • Coronary arteries Arterial supply to pericardium