5. Left Posterior Aortic Sinus
P.T
Left Auricle
Left Coronary Artery
Left Coronary
and
The Great Cardiac Vein
in
The Atrioventricular Groove
Anterior
Interventricular Artery
A.A
The Left Coronary Artery
6. Circumflex Artery
(The Continuation of Left Coronary Posteriorly)
Right Coronary Artery
The Left Coronary Artery
Terminates
By
Anastomosis
with
Right Coronary
Posterior
Interventricular Artery
7. Venous Drainage of the Heart
A- Coronary Sinus
B- Anterior Cardiac Veins
C- Vena Cordis Minimi
9. Tributaries of Coronary Sinus
1. Great cardiac vein: ascends with the anterior inter-ventricular artery, then curves with the
circumflex artery. Small cardiac vein: accompanies the marginal artery.
2. Middle cardiac vein: accompanies the posterior inter- ventricular artery.
3. Small cardiac vein : accompanies the marginal artery .
4. Oblique vein of left atrium (of Marshal): descends obliquely on the back of the Lt. atrium.
5. Posterior vein of the left ventricle: to the left side of the middle cardiac vein.
10. 1- Great Cardiac Vein
Left Marginal Vein
Ventricular Tributaries
Atrial Tributaries
Right Marginal Vein
is
A Tributary of
Small Cardiac Vein
11. 2- Middle Cardiac Vein
Tributaries from Both Ventricles
3- Small Cardiac Vein
Tributaries from
Right Atrium and Ventricle
4- Posterior
Vein
of
Left Ventricle
Tributaries
from Left Ventricle
5- Oblique Vein
of
Left Atrium
15. Base
Left Atrium
RightAtrium
Relations of The Base of The Heart
Pericardium
And
Oblique Sinus
DescendingThoracicAorta
The Coronary Sinus
In
The Coronary Groove
2- The Base The Heart
26. ABC
Surface Anatomy of the pleura
a
b
g
c
d
e
h
f
d
e
a
b
c
g
h
f
Anterior margin:
q Begins at the apex 1 inch above the medial
1/3 of clavicle.
q Descends behind the sterno-clavicular
joint.
q Reaches the sternal angle.
q Then, descends to the 4th costal cartilage.
q The right pleura continues till the 6th costal
cartilage.
q The left pleura arches outwards and
descends lateral to the sternal border
making the cardiac notch, till it reaches the
6th costal cartilage.
Inferior margin:
q From the 6th costal cartilage, each line
turns laterally passing around the chest
wall crossing mid-clavicular line at 8th rib.
q Mid-axillary line at 10th rib.
q Midline posteriorly at 12th thoracic
vertebra.
Posterior margin:
q From the 12th thoracic vertebra upwards
till the apex.
27. ABC
Surface Anatomy of the Lung
a
b
g
c
d
e
h
f
d
e
a
b
c
g
h
f
Anterior margin:
q Begins at the apex 1 inch above the
medial 1/3 of clavicle.
q Descends behind the sterno-clavicular
joint.
q Reaches the sternal angle.
q Then, descends to the 4th costal cartilage.
q The right pleura continues till the 6th
costal cartilage.
q The left pleura arches outwards and
descends lateral to the sternal border
making the cardiac notch, till it reaches
the 6th costal cartilage.
Inferior margin:
q It lies 2 ribs higher than that of pleura.
Mid-clavicular line at 6th rib.
q Mid-axillary line at 8th rib.
q Midline posteriorly at 10th thoracic
vertebra.
Posterior margin:
From the 10th thoracic vertebra upwards till
the apex.
Fissures:
Oblique fissure (in both sides): From the
3rd thoracic spine to the 6th costal cartilage.
Horizontal fissure (only in the right): From
the 4th costal cartilage till it meets the oblique
fissure.