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Surface & radiological
anatomy of heart & valves
Dr. Sama ul Haque
Objectives
• Delineate the surface anatomy of the heart and
valves.
• Explain the radiological anatomy of the heart.
Surface anatomy of the
Heart Valves
Location of Heart
Surface anatomy of the heart valves

Tricuspid Valve:
Lies behind the right half of the sternum
opposite the 4th intercostal space.

Mitral Valve:
Lies behind the left half of the sternum
opposite the 4th costal cartilage.
Surface anatomy of the heart valves

Pulmonary Valve:
Lies behind the medial end of the 3rd left
costal cartilage and the adjoining part of the
sternum.

Aortic Valve:
Lies behind the left half of the sternum
opposite the 3rd intercostal space.
Left
Auscultation Areas
Surface Anatomy
Radiological anatomy of the
Heart
Essentials Before Getting Started

Pathway of x-ray beam
PA
 AP


Patient Position
Upright
 Supine

Erect Posture (A-P View)
Erect Posture (P-A View)
Supine Posture (A-P View)
Densities
The big two densities are:
(1) WHITE - Bone
(2) BLACK - Air
The others are:
(3) DARK GREY- Fat
(4) GREY- Soft tissue/water
And if anything Man-made is on the
film, it is:
(5) BRIGHT WHITE - Man-made
Densities
X-Ray Chest
Heart
Heart
Right Border
Left Border
Thank You