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Anatomy of the
Cardiovascular
System
Organ System Cluster
Prepared by: Maria Michaela Valenzuela, PTRP
Reference
Seeley, R., Stephens, T., and Tate, P.,
Anatomy & Physiology. 8th ed. McGraw Hill
Company Inc., (2008)
Snell, R., Clinical Anatomy for Medical
Students. 7th ed. Lippincott Williams Inc.
(2004)
• Martini, F., Fundamentals of
Anatomy & Physiology. 6th ed.
Benjamin Cummings Inc (2003)
OUTLINE
HEART
PERIPHERAL BLOOD VESSELS
THE BLOOD
LYMPHATICS and IMMUNITY
THE HEART & PERICARDIUM
Part I
Heart
Blunt cone about the size
of a closed fist
Located in the inferior mediastinum
enclosed by the pericardium
Base: 3rd costal cartilage ½” to the (L)
Apex: 5th ICS, midclavicular line
Pericardium
Fibroserous sac enclosing the heart &
great vessels
Posterior to sternum, 2nd to 6th costal
cartilage (T5 to T8)
Pericardium
Fibrous
Pericardium
Serous
Parietal
Visceral
(Epicardium)
** pericardial fluid
Surface Anatomy of the
Heart
Auricles
Atrioventricular Groove
Coronary sulcus
Interventricular Groove
Anterior & posterior
Surfaces of the Heart
Sternocostal Surface
® atrium & ventricle
Diaphragmatic Surface
® & (L) ventricles, ® atrium
Surfaces of the Heart
Base (posterior surface)
(L) atrium
Apex
(L) ventricle
Borders of the Heart
® border
(R) atrium
(L) border
(L) auricle, (L)
ventricle
Inferior border
® ventricle
Superior
Border
Great vessels
Layers of the Heart Wall
Epicardium
Mesothelium, loose CT
Myocardium
Cardiac mm, BV & Nerves
Endocardium
Simple squamous
The ® atrium
Sulcus terminalis
& crista
terminalis
Musculi pectinati
Interatrial
Septum
Openings:
SVC & IVC
Coronary Sinus
Fossa Ovalis
® AV orifice
Tricuspid valve
The ® ventricle
Trabeculae Carneae
Papillary muscles
chordae tendinae
Moderator band
Interventricular Septum
Infundibulum (conus
arteriosus)
Openings:
® atrioventricular
orifice
Pulmonary orifice
Pulmonary valve
The (L) atrium
Forms base of the heart
Openings:
From 4 pulmonary veins
(L) atrioventricular orifice
With mitral valve
The (L) ventricle
Trabeculae
Carneae:
papillary muscles
chordae tendinae
(-) moderator band
Openings
(L)
atrioventricular
orifice
Aortic orifice
Aortic valve
Aortic sinuses
(R) & (L) ventricles
Feature (R) (L)
Wall thickness Thinner Thicker
Intraventricular
Pressure
Lower 7x Higher
Trabeculae
Carneae
(+) MB
papillary mm
chordae
tendinae
(-) MB
papillary mm
chordae
tendinae
Cross Section Crescent Circular
Blood Deoxygenated Oxygenated
Valves of the Heart
Atrioventricular
(R), Tricuspid
(L), Bicuspid,
Mitral
Semilunar
Pulmonary
Aortic
Route of Blood in the Heart
Blood Supply to the Heart
Blood Supply to the Heart
Venous Drainage of the
Heart
Artery Vein
LADCA Great Cardiac
Circumflex Posterior Cardiac
Posterior
Descending
Middle Cardiac
Marginal Small Cardiac
Conducting System of the
Heart
Sinoatrial Node
Atrioventricular Node
Atrioventricular Bundle of His
Purkinje Fibers
Conducting System of the
Heart
Fibrous Skeleton of the
Heart
4 dense bands of
tough elastic
tissue
Stabilize
positions of the
heart valves
Isolate ventricles
from atria
Cardiac Muscle Tissue
Cardiac Skeletal
Size smaller larger
Nuclei Mononucleated Multiple Nuclei
Mitochondria Numerous Relatively few
Contractions Twitch Tetanic
Shape Branching Spindle
shaped
LET’S TAKE A BREAK!
THE PERIPHERAL BLOOD
VESSELS
Part II
The blood vessel wall
Tunica intima (interna)
Endothelial lining
Connective tissue with elastic fibers
Tunica media
Concentric layer of smooth muscles
Tunica adventitia (externa)
Collagen & elastic fibers
Arteries
Carry oxygenated blood
Thick muscular walls
Elastic & contractile
Varying diameters in response
to BP chages
Vasodilation & vasoconstriction
Arteries
Large
Conducting
arteries
Elastic
Great vessels
Medium
Distribution
arteries
Muscular
To internal
organs
Arterioles
Small diameter
that changes in
response to
local conditions
Feature Large Medium Small
Size 2.5 cm 40 – 300 mm 9 – 40 mm
T. Adventitia Thin Thick Thin
T. Media Elastic >
Smooth
mm
Elastic <
Smooth mm
2 layers of
smooth mm
T. Intima
Endothelium
Thick
elastic
membrane
Developed
internal
elastic
membrane
(-) internal
elastic
membrane
others Elastic
Rebound
Capillaries
Endothelial tube inside a basal lamina
Only blood vessels that permit
exchange between blood &
surrounding interstitial fluid
Slow blood flow
Types of Capillaries
Continuous
Endothelium is a
complete lining
bound by tight
junctions
Located in all
tissues except
epithelia &
cartilage
Fenestrated Endothelium
contains pores
permitting rapid
exchange
Intestine &
kidneys
Capillary Network
Veins
Carry deoxygenated blood
from tissues to be returned to
heart
Lower BP with larger
diameters
Valves permit unidirectional
flow
Veins
Venules
Collect from
capillary beds
Medium-Sized
Comparable to
muscular arteries
Large Veins
Major veins
Feature Large Veins Medium-
Sized
Venules
Size 2 – 9 mm 20mm
T. Adventitia Thick;
mixture of
collagen &
elastic
fibers
Thickest;
longitudinal
bundles of
collagen
&elastic
T. Media Thin, few
smooth mm
cells
(-)
others Resemble
expanded
capillaries
Arteries Veins
Walls Thick thin
Thickest tunic
(Layer)
T. Media T. Adventitia
Cross-Section Smaller,
thrown into
folds
Large,
collapses
Others Resists
distortion with
high BP
(+) valves
CV Changes upon birth
Fetal Structure Remnant
Foramen Ovale Fossa Ovalis
Ductus Venosus Ligamentum
Venosum
Ductus Arteriosus Ligamentum
Arteriosum
THE BLOOD
Part III
Plasma
55% of blood
Fluid part of
the blood
Colloid
Plasma proteins
Ions
Nutrients
Wastes
Enzymes
Gases
Hormones
Plasma Proteins
Albumin
Maintains osmotic pressure &
viscosity
Globulins
Immune response
Fibrinogen
Clotting response
Formed Elements
45% of blood
Composed of
the cells
Erthrocytes
Leukocytes
(Neutrophils,
Basophils,
Eosinophils,
Lymphocytes,
Monocytes)
Thrombocytes
Erythrocytes
95% of formed elements
Biconcave non-nucleated discs
Gas transport via hemoglobin
Leukocytes
Immune response
Motile via ameboid movement
Leave circulation via diapedesis
Attraction to dead cells via
chemotaxis
Leukocytes
Leukocyte Features
Gra
nula
r
Neutrophils Polymorphonucleated
Survives for 1 – 2 days
Acute Inflammation
Eosinophils Secretes histamine
Allergic reactions
Basophils Secretes histamine & heparin
Allergic & Inflammatory
Reactions
Leukocytes
Leukocyte Features
Ag
ran
ula
r
Lymphocytes B cells – antibodies
T cells – macrophages
Monocytes Largest
Chronic inflammation
Platelets
Disk shaped 3mm in diameter
For blood clotting
LET’S TAKE A BREAK!
LYMPHATICS & IMMUNITY
Part IV
Lymphatic System
Cells, tissues &
organs
responsible for
defending against
environmental
hazards
Lymphatic Vessels
Begin as lymphatic capillaries
Fluid tend to go out (Capillary
Hydrostatic Force)
Comprised of loosely overlapping
squamous epithelium
Lymphatic Vessels
Joint to become lymphatic
vessels
Endothelium surrounded by elastic
membrane, smooth mm, fibrous
connective tissue
Valves ensure one-way flow
Lymph Drainage
Via lymphatic trunks into great veins
Jugular – head & neck
Subclavian – UE
Bronchomediastinal – thoracic cavity
Intestinal – abdominal cavity
Lumbar – LE & pelvic cavity
Lymphocytes
T – lymphocytes
Cytotoxic T-cells: for cell mediated
immunity
Helper T-cells: stimulate activation
of cytotoxic T-cells
Suppressor T-cells: inhibit cytotoxic
T-cells
Lymphocytes
B – cells
Production & secretion of
immunoglobulins
Antibody – mediated immunity
Natural Killer Cells
Lymph Organs
Lymph Nodes
Thymus
Spleen
Thank You for
Listening!
The human heart feels things the eyes
cannot see, and knows what the mind
cannot understand
-- Robert Valett