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Hurst's The Heart, 12e
Correlative Anatomy
Sections: Correlative
Anatomy, Pericardium, Cardiac
Skeleton, Tricuspid
Valve, Mitral
Valve, Aortic
Valve, Pulmonary
Valve, Age-Related
Valve Changes, Cardiac
Grooves, Crux, and Margins, Right
Ventricle, Left
Ventricle, Ventricular
Septum, Atrial
Septum, Right
Atrium, Left
Atrium, Coronary
Arteries and Veins, Regional
Coronary Artery Supply, Coronary
Collaterals and Microcirculation, Cardiac
Lymphatics, Great
Vessels, Cardiac
Conduction System.
Topics Discussed: aortic valve; atrial inversion operation with patch; atrioventricular groove; cardiac fibrous skeleton; cardiac foramen ovale; cardiac lymphatic trunk; carotid arteries; chiari's network; collateral circulation; conduction, cardiac; coronary artery; descending thoracic aorta; ebstein anomaly; entire left margin of heart; fontan procedure; great vessels; heart; heart valves; inferior vena cava; interarterial septum; interventricular septum; jugular vein; left atrium; left ventricle; ligament of left superior vena cava; lipomatous hypertrophy of the atrial septum; marginal branch of right coronary artery; microcirculation; mitral valve; oblique sinus of pericardium; oblique vein of left atrium; papillary fibroelastomas; patent foramen ovale; pericardial sac; pulmonary valve; right atrium; right ventricle; sinus of valsalva; superior vena cava; transverse sinus of pericardium; triangle of koch; tricuspid valve; vascular flow.
Excerpt:
"This section provides an illustrated review of applied cardiac anatomy.
The clinical significance of the anatomy described is highlighted
in italics.The fibrous (parietal) pericardium is a resilient sac that envelops
the heart and attaches onto the great vessels.19 Almost
the entire ascending aorta and main pulmonary artery and portions
of both venae cavae and all four pulmonary veins are intrapericardial
(Fig. 3–19). These
are important anatomic landmarks to remember in evaluating diseases
of the pericardium. Given the intrapericardial location of the ascending
aorta, diseases such as localized aortic wall hematoma, aortic dissection,
or aortic rupture can produce a rapidly fatal hemopericardium. Because
the sac is collagenous, with little elastic tissue, it cannot stretch
acutely. In patients with total anomalous pulmonary venous connection, the
confluence of pulmonary veins is intrapericardial. In contrast,
the right and left pulmonary arteries and ductal artery (ductus
arteriosus) are extrapericardial structures.20..."
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