Download valve - INAYA Medical College

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

History of invasive and interventional cardiology wikipedia , lookup

Management of acute coronary syndrome wikipedia , lookup

Hypertrophic cardiomyopathy wikipedia , lookup

Quantium Medical Cardiac Output wikipedia , lookup

Pericardial heart valves wikipedia , lookup

Myocardial infarction wikipedia , lookup

Arrhythmogenic right ventricular dysplasia wikipedia , lookup

Coronary artery disease wikipedia , lookup

Aortic stenosis wikipedia , lookup

Cardiac surgery wikipedia , lookup

Lutembacher's syndrome wikipedia , lookup

Mitral insufficiency wikipedia , lookup

Dextro-Transposition of the great arteries wikipedia , lookup

Transcript
CHAPTER 18
The Cardiovascular
System: The
Heart: Part B
Learning Objectives
At the end of the discussion students should be
able to :
 Recognize the pathway of the blood through the
heart
 Name and recognize the coronary circulation of
the heart
 Identify and enlist the types of the heart valves
 Explain the development of the heart
Lecture Outline




Pathway of Blood
Coronary circulation
Heart valves
Development of the heart
Pathway of Blood Through the Heart
• The heart is two side-by-side pumps
• Right side is the pump for the pulmonary circuit
• Vessels that carry blood to and from the lungs
• Left side is the pump for the systemic circuit
• Vessels that carry the blood to and from all body
tissues
Copyright © 2010 Pearson Education, Inc.
Pulmonary
Circuit
Pulmonary arteries
Venae cavae
Capillary beds
of lungs where
gas exchange
occurs
Pulmonary veins
Aorta and branches
Left atrium
Left ventricle
Right atrium
Right ventricle
Oxygen-rich,
CO2-poor blood
Oxygen-poor,
CO2-rich blood
Copyright © 2010 Pearson Education, Inc.
Heart
Systemic
Circuit
Capillary beds of all
body tissues where
gas exchange occurs
Figure 18.5
Pathway of Blood Through the Heart
• Right atrium  tricuspid valve  right ventricle
• Right ventricle  pulmonary semilunar valve 
pulmonary trunk  pulmonary arteries  lungs
Copyright © 2010 Pearson Education, Inc.
Pathway of Blood Through the Heart
• Lungs  pulmonary veins  left atrium
• Left atrium  bicuspid valve  left ventricle
• Left ventricle  aortic semilunar valve  aorta
• Aorta  systemic circulation
Copyright © 2010 Pearson Education, Inc.
Copyright © 2010 Pearson Education, Inc.
Copyright © 2010 Pearson Education, Inc.
Cardiac muscles need the blood too!!!!
It’s a living tissue
Copyright © 2010 Pearson Education, Inc.
Coronary Circulation
• The functional blood supply to the heart muscle
itself
• Collateral routes provide additional routes for
blood delivery
Copyright © 2010 Pearson Education, Inc.
Coronary Circulation
Arteries
• Right and left coronary arteries (in atrioventricular
groove),
• Marginal artery
• Circumflex artery
• Anterior interventricular arteries
Copyright © 2010 Pearson Education, Inc.
Left
coronary
artery
Right
coronary
artery
Right
marginal Posterior
artery
interventricular
artery
(a) The major coronary arteries
Copyright © 2010 Pearson Education, Inc.
Circumflex
artery
Anterior
interventricular
artery
Figure 18.7a
Coronary Circulation
Veins
• Small cardiac
• Anterior cardiac
• Middle cardiac veins
• Coronary sinus
• Great cardiac veins
Copyright © 2010 Pearson Education, Inc.
Superior
vena cava
Anterior
cardiac
veins
Great
cardiac
vein
Coronary
sinus
Small cardiac vein
Middle cardiac vein
(b) The major cardiac veins
Copyright © 2010 Pearson Education, Inc.
Figure 18.7b
Aorta
Left pulmonary
artery
Superior vena cava
Right pulmonary artery
Right pulmonary veins
Right atrium
Great cardiac
vein
Coronary sinus
Left ventricle
Middle cardiac vein
(d) Posterior surface view
Copyright © 2010 Pearson Education, Inc.
Figure 18.4d
Heart Valves
Ensure unidirectional blood flow through the heart
Types
• Atrioventricular (AV) valves
• Semilunar valves
Copyright © 2010 Pearson Education, Inc.
Heart Valves
Atrioventricular (AV) valves
• Prevent backflow into the atria when ventricles
contract
• Tricuspid valve (right)
• Mitral valve (left)
Copyright © 2010 Pearson Education, Inc.
Heart Valves
Semilunar (SL) valves
• Prevent backflow into the ventricles when
ventricles relax
• Aortic semilunar valve
• Pulmonary semilunar valve
Copyright © 2010 Pearson Education, Inc.
Myocardium Pulmonary valve
Aortic valve
Tricuspid
Area of cutaway
(right atrioventricular)
Mitral valve
valve
Tricuspid valve
Mitral
(left atrioventricular)
valve
Aortic
valve
Myocardium
Tricuspid
(right atrioventricular)
valve
Mitral
(left atrioventricular)
valve
Aortic valve
Pulmonary
valve
Fibrous
skeleton
(a)
Copyright © 2010 Pearson Education, Inc.
Pulmonary valve
Aortic valve
Area of cutaway
(b)
Pulmonary
valve
Mitral valve
Tricuspid
valve
Anterior
Figure 18.8a
Myocardium
Tricuspid
(right atrioventricular)
valve
Mitral
(left atrioventricular)
valve
Aortic
valve
Pulmonary
valve
Pulmonary valve
Aortic valve
Area of cutaway
(b)
Mitral valve
Tricuspid valve
Copyright © 2010 Pearson Education, Inc.
Figure 18.8b
Opening of inferior
vena cava
Tricuspid valve
Mitral valve
Chordae
tendineae
Myocardium
of right
ventricle
Myocardium
of left ventricle
Papillary
muscles
(d)
Copyright © 2010 Pearson Education, Inc.
Interventricular
septum
Pulmonary
valve
Aortic valve
Area of
cutaway
Mitral valve
Tricuspid
valve
Figure 18.8d
Developmental Aspects of the Heart
• Development of heart occurs from 4th week – 6th
week from mesoderm.
• Right and left endocardial tubes fuse by Day 22 of
development to form heart tube
Copyright © 2010 Pearson Education, Inc.
Developmental Aspects of the Heart
• Folding and rotation of heart tube results in
the formation of cardiac chambers
Copyright © 2010 Pearson Education, Inc.
Arterial end
4a
4
3
2
1
Tubular
heart
Arterial end
Ventricle
Atrium
Ventricle
Venous end
(a) Day 20:
(b) Day 22: (c) Day 24: Heart
Endothelial
Heart
continues to
tubes begin
starts
elongate and
to fuse.
pumping.
starts to bend.
Copyright © 2010 Pearson Education, Inc.
Aorta
Superior
vena
cava
Venous end
Inferior
vena cava
(d) Day 28: Bending
continues as ventricle
moves caudally and
atrium moves cranially.
Ductus
arteriosus
Pulmonary
trunk
Foramen
ovale
Ventricle
(e) Day 35: Bending
is complete.
Figure 18.23
KEY POINTS
Pathway of Blood
-Right side is the pump for the pulmonary circuit
-Left side is the pump for the systemic circuit
Right atrium  tricuspid valve  right ventricle
Right ventricle  pulmonary semilunar valve  pulmonary
trunk  pulmonary arteries  lungs
Lungs  pulmonary veins  left atrium
Left atrium  bicuspid valve  left ventricle
Left ventricle  aortic semilunar valve  aorta
Aorta  systemic circulation
Copyright © 2010 Pearson Education, Inc.
KEY POINTS
• Coronary circulation
Arteries – right coronary, left coronary, marginal, circumflex, and
anterior interventricular arteries
Veins – small, anterior and great cardiac veins
• Heart valves
Atrioventricular (AV) valves – Tricuspid (right)
– Mitral ( left)
Semilunar (SL) valves – Aortic valve
– Pulmonary valve
Copyright © 2010 Pearson Education, Inc.
KEY POINTS
• Development of the heart
- Develops from the mesoderm
between 4th -6th week
- Right and left endocardial tubes fuse
- Folding and rotation of heart tube results in the formation of
cardiac chambers
Copyright © 2010 Pearson Education, Inc.
Copyright © 2010 Pearson Education, Inc.