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Pericardium
 Definition: afibro serous sac surrounding the heart&roots
of it's great vessels.
 Site: middle mediastinum Extends from (2nd to 6th ) costal
cartilages& from ( 5th to 8th ) thoracic vertebrae.
 Structures: formed of 2 sacs: A- Fibrous pericardium
B- Serous pericardium

Fibrous pericardium
 Conical fibrous sac formed of fibrous tissue:
 It has: Base, Apex, ant, post& 2 lat surface.
 Base: bellow, attached to central tendon of diaphragm.
 Apex: above, up to sternal angle where it belend with
the adventitia of great vessels & Pre tracheal fascia.
Serous pericardium
 Closed serous sac which is invaginated from above and behind
by the heart & great vessels.
Structures:formed of 2 layers
 - 1- parietal layer: - lines fibrous pericardium & continous with
visceral layer at root of great vessels .
 2- Visceral layer(epicardium): covers the heart.
Blood Supply
 Fibrous and parietal serous:
 Arterial blood supply from:
 - Internal mammary, musculophernic arteries&
Descending thoracic aorta.
 Venous drainage:to internal mammary and
azygose veins.
 - Visceral serous: as the heart.
Nerve Supply
 Fibrous and parietal serous:
Phernic nerve (Sensitive to pain).
 Visceral layer: as heart
(Autonomic→ insensetive to pain) but
Sensitive to ischaemia .
sinuses of pericardium
 They are recesses inside the pericardal cavity lined by
serous pericardium, they includes :
 1- Transvers sinus
 2- oblique sinuses.
Oblique sinus
 Ablined recess of the pericardal cavity that lies
behind the base of the heart
 opened bellow to general pericardal cavity
 Boundaries:
 - Anteriorly: back of Lt atrium.
 - Post: fibrous pericardium
 - On left side: reflection of the serous
pericardium on 2 left pulmonary veins.
 - On right Side: reflection of the serous
pericardium on 2 right Pulmonary veins & 2 vena cava
‫هلل‬ ‫الحمد‬

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precardium.pptx

  • 1. Pericardium  Definition: afibro serous sac surrounding the heart&roots of it's great vessels.  Site: middle mediastinum Extends from (2nd to 6th ) costal cartilages& from ( 5th to 8th ) thoracic vertebrae.  Structures: formed of 2 sacs: A- Fibrous pericardium B- Serous pericardium 
  • 2. Fibrous pericardium  Conical fibrous sac formed of fibrous tissue:  It has: Base, Apex, ant, post& 2 lat surface.  Base: bellow, attached to central tendon of diaphragm.  Apex: above, up to sternal angle where it belend with the adventitia of great vessels & Pre tracheal fascia.
  • 3.
  • 4.
  • 5. Serous pericardium  Closed serous sac which is invaginated from above and behind by the heart & great vessels. Structures:formed of 2 layers  - 1- parietal layer: - lines fibrous pericardium & continous with visceral layer at root of great vessels .  2- Visceral layer(epicardium): covers the heart.
  • 6.
  • 7. Blood Supply  Fibrous and parietal serous:  Arterial blood supply from:  - Internal mammary, musculophernic arteries& Descending thoracic aorta.  Venous drainage:to internal mammary and azygose veins.  - Visceral serous: as the heart.
  • 8. Nerve Supply  Fibrous and parietal serous: Phernic nerve (Sensitive to pain).  Visceral layer: as heart (Autonomic→ insensetive to pain) but Sensitive to ischaemia .
  • 9. sinuses of pericardium  They are recesses inside the pericardal cavity lined by serous pericardium, they includes :  1- Transvers sinus  2- oblique sinuses.
  • 10.
  • 11.
  • 12. Oblique sinus  Ablined recess of the pericardal cavity that lies behind the base of the heart  opened bellow to general pericardal cavity  Boundaries:  - Anteriorly: back of Lt atrium.  - Post: fibrous pericardium  - On left side: reflection of the serous pericardium on 2 left pulmonary veins.  - On right Side: reflection of the serous pericardium on 2 right Pulmonary veins & 2 vena cava
  • 13.