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Surface anatomy of heart and lungs

Dr. Mohamed Elfiky

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Surface anatomy of heart and lungs

  1. 1. Surface anatomy of heart and lung Dr. Mohamed El fiky Professor of anatomy and embryology
  2. 2. Blood Supply of the Heart
  3. 3. Right Coronary Artery Right Atrium Right Ventricle Anterior Sinus of the Aorta The Right Coronary Artery
  4. 4. Right Atrium Right Ventricle Left Coronary Artery Right Coronary Artery The Right Coronary Artery Terminates By Anastomosis with Left Coronary Posterior Interventricular Artery I.V.C
  5. 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. 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. 7. Venous Drainage of the Heart A- Coronary Sinus B- Anterior Cardiac Veins C- Vena Cordis Minimi
  8. 8. Coronary Sinus Opening of The Coronary Sinus Caval Openi ng A- Coronary Sinus 1.It is a wide venous channel situated in the posterior part of coronary sulcus and ends in the right atrium.
  9. 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. 10. 1- Great Cardiac Vein Left Marginal Vein Ventricular Tributaries Atrial Tributaries Right Marginal Vein is A Tributary of Small Cardiac Vein
  11. 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
  12. 12. Anterior Cardiac Veins B- Anterior Cardiac Veins
  13. 13. Vena Cordis Minimi C- Vena Cordis Minimi
  14. 14. BaseSternocostal Surface Diaphragmatic Surface Left Surface
  15. 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
  16. 16. RightBorder Lower Border A- Borders B- Apex C- Coronary Groove D- Valves (P) (A) (M) (T) Surface Anatomy of the Heart
  17. 17. Right border Upper Border Left Border Lower border 5- Borders of The Heart
  18. 18. Apex 1- Apex of The Heart 3.5 Inch 5th space Midclavicular Line
  19. 19. Surface Anatomy of the lung and Pleura
  20. 20. MidclavicularLine MidaxillaryLine Anteriormargin Surface Anatomy of the Right Pleura
  21. 21. Surface Anatomy of the Left Pleura
  22. 22. MidclavicularLine MidaxillaryLine Anteriormargin Surface Anatomy of the inferior margin of Right & left Pleura
  23. 23. MidaxillaryLine MidclavicularLine ParavertebralLine Posteriormargin Anteriormargin Horizontal fissure
  24. 24. Posteriormargin Inferior margin Horizontal fissure Surface Anatomy of the Right Lungs
  25. 25. Inferior margin Posteriormargin Surface Anatomy of the Left Lungs
  26. 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. 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.
  28. 28. Costophrenic angle Aortic knuckle Left border Apex Right border Left diaphragmatic copula Right diaphragmatic copula
  29. 29. Thank You

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