Return to flip book view

Cardiacanatomy

Page 1

Human Anatomy Thorax Reference Editor Dr Meng Yu Wu Associate Professor Department of Cardiac Surgery Chang Gung Memorial Hospital and Chang Gung University

Page 2

Hi Kate Kate Kate Cardiac Surgery Operative and Evolving techniques Kate Amazon Human Gross Anatomy Wilcox s Surgical Anatomy of the Heart

Page 3

1 How and Why 2

Page 4

Kate

Page 5

Page 6

Fig1 Sternum Thoracic spine 1 thoracic inlet diaphragm Fig2 thoracic inlet thoracic outlet bony structure

Page 7

Fig 1 Roof First rib and clavicles Anterior Sternum Lateral aspect ribs Floor Diaphragm Posterior aspect T Spine Fig 2

Page 8

Page 9

1 Fig3 4 Fig 4 Innominate or brachiocephalic artery 1 Brachiocephalic vein

Page 10

Fig 3 Fig 4 Structures in Pulmonary cavities Lungs airway pleurae L t Lung RA Ao R t Lung Structures in Mediastinum Heart great vessels trachea esophagus thymus RV

Page 11

Ascending aorta Pulmonary artery Right atrium Right ventricle Right coronary artery Right internal thoracic artery Right phrenic nerve 345 Fig 7

Page 12

2 Fig 5 manubriosternal joint superior inferior anterior middle posterior Table 1

Page 13

Fig 5 Sternal angle divides mediastinum to the superior and inferior part j Mediastinum k l

Page 14

Table 1 Mediastinum Contents Superior Thymus great vessels trachea esophagus phrenic nerve and vagus nerves and lymphatics Inferior Anterior Internal thoracic vessels Middle Heart Posterior Descending thoracic aorta Azygos veins esophagus lymphatics thoracic duct thoracic sympathetic trunk and thoracic splanchnic nerves

Page 15

Fig 4 Fig 4 Fig 6 Fig 6 Fig 6

Page 16

Superior Mediastinum Fig 4 Fig 7 Fig 6

Page 17

Fig 8 Fig 9 Fig 9 Fig 8 hiatus

Page 18

Posterior Mediastinum Fig 8 Fig 9

Page 19

Fig 10 Fig 11 bony structure

Page 20

Anterior Mediastinum Internal thoracic arteries Fig 10 Fig 11

Page 21

1

Page 22

Fig 12 Fig 14 15 16

Page 23

Fig 16 17 Fig 16 Kate I Fig 17

Page 24

Median sternotomy for cardiac surgeries Fig 12 Median sternotomy From suprasternal notch to xiphoid DB Doty Cardiac Surgery Operative and Evolving techniques

Page 25

Thoracotomy for lung esophagus aortic surgeries Fig 13 Fig 14 Fig 15

Page 26

Fig 17 Fig 16 Aorta Right Atrium Ascending aorta Pulmonary artery Right atrium Right ventricle Pericardium Phrenic nerve DB Doty Cardiac Surgery Operative and Evolving techniques

Page 27

2

Page 28

Fig 18

Page 29

Cardiopulmonary bypass setup Fig 18 Video 1 Venous drainage Arterial flow

Page 30

Page 31

Page 32

Cardiopulmonary system Heart Pumping blood Aorta Fig 19 Pulmonary artery Lung Blood gas exchange SVC Pulmonary veins SAN LA RA AVN Tricuspid valve IVC Pulmonary valve RV RV LV His bundle Mitral valve Aortic valve

Page 33

Fig 19 SVC IVC RA tricuspid valve RV pulmonary valve PA Lung PVs LA mitral valve LV aortic valve Aorta Sinoatrial node SAN atrioventricular node AVN His bundle and its branches

Page 34

Fig23 Fig24 Fig25 Fig20 Fig21 4 2 Fig 22 Transverse sinus Oblique sinus 4

Page 35

Fig 20 Fig 22 Fig 21

Page 36

Fig23 RA right atrium SVC superior vena cava Ao ascending aorta RCA right coronary artery PA pulmonary artery RV right ventricle LAD left anterior descending artery anterior interventricular artery LCA left coronary artery 2 LV left ventricle LA left atrium

Page 37

Middle Mediastinum Heart Anterior Fig 23 SVC LA Ao PA LCA RA RCA LAD RV LV

Page 38

Fig24 LA left atrium PV pulmonary vein RA right atrium SVC superior vena cava SAN Sinoatrial node RA SVC Ao ascending aorta aortic sinus left coronary cusp right coronary cusp Non coronary cusp 3

Page 39

Heart Superior View Fig 24 RV PV NCC R A LA SAN SVC RA

Page 40

Fig25 IVC inferior vena cava CS coronary sinus left circumflex Posterior descending artery posterior interventricular artery middle cardiac vein LAD left anterior descending artery great cardiac vein

Page 41

Heart bottom Fig 25 PV IVC LA RA CS RV LV

Page 42

Fig26 27 28 4 Fig 26 28 Fig 26 Fig 31 Fig 26 Fig 28 central fibrous body

Page 43

Cardiac Skeleton superior atriums removed Fig 26 LCC RCC Left circumflex artery Right fibrous trigone central fibrous body

Page 44

Fig 28 Fig 27 LAD LV LCX PA RV P A Anterior LAD RCA Ao LCA RA TV TV RCA MV PV s LA Ao By Dr Wumengyu LCX Posterior Right fibrous trigone central fibrous body Left fibrous trigone

Page 45

Fig25 Fig27 28 19 Fig29 31 Fig27 28 Fig29 Fig 30 Fig29 Fig 31

Page 46

Sagittal Section of the Heart Correlations of chambers septum and valves Fig 29 Fig 31 Fig 30 A B IAS MV TV C IVS MV TV MV LVOT IVS AV RA RV LA LV Ao TV tricuspid valve MV Mitral valve AV Aortic Valve IAS Interatrial septum IVS Interventricular septum LVOT Left ventricular outflow tract

Page 47

Aortic root Semilunar valve Coronary artery opening Aorta RCA opening NCC Membranous part of interventriclar septum Left bundle branch LCA opening Anterior mitral leaflet Fig 32 Non coronary cusp is in continuity with anterior mitral leaflet LCC NCC RCC Fig 33

Page 48

Fig 32 33 His bundle

Page 49

Right Atrium SVC Fig 34 S A P O CS

Page 50

Fig 34 Right atrium RA Fig34 RA sinus venosus primitive atrium Septum Secundum Septum Primum

Page 51

Triangle of Koch and AV node Fig 36 Fig 35 Atrioventricular Node Tricuspid valve ASDII By Dr Wumengyu

Page 52

Fig 35 36 Sinoatrial node SAN RA RA Fig 24 Atrioventricular AVN RA Triangle of Koch Triangle of Koch Tendon of Todaro Tendon of Todaro central fibrous body

Page 53

4

Page 54

Atrial septal defect ASD Fig 37 Ostium secundum ASD Sinus venosus ASD Coronary sinus ASD By Dr Wumengyu Ostium primum ASD

Page 55

ASD Fig34 Atrial septal defect ASD ASD sinus venous ASD ASD coronary sinus type ASD ASD Ostium secundum ASD patent foramen ovale PFO ASD Ostium primum ASD

Page 56

Fig 29 30 31 Left main coronary artery 1 2 Left anterior descending artery LAD anterior interventricular artery anterior interventricular groove Septal branches Diagonal branches

Page 57

Fig 38 Fig 40 Fig 39 Coronary Artery

Page 58

Left circumflex artery LCX Fig26 LCX obtuse marginal branches Right coronary artery RCA Fig26 RCA Acute marginal branch posterior descending artery PDA inferior interventricular artery inferior interventricular groove

Page 59

50 SA nodal artery 90 PDA and AV Nodal artery RCA 10 PDA and AV Nodal artery LCX PDA RCA right side dominant circulation 90 PDA LCX left side dominant circulation 10 Fig 32 33 Intermediate branch ramus intermedius 3 LAD LCX intermediate branch ramus intermedius 1st diagonal branch

Page 60

Fig 42 Fig 41 LMCA LMCA LAD LAD 1st Diagonal branch LCX intermediate branch LCX

Page 61

3

Page 62

Internal thoracic arteries for coronary artery bypass grafting CABG Fig 43 Stenotic lesion By Dr Wumengyu

Page 63

CABG CABG CABG Fig 43 graft great saphenous vein GSV GSV

Page 64

LITA LITA Fig 10 RITA LITA Y

Page 65

Andrew Vesalius privilege obligation 2019