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June 7-8, 2012 DLM Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions THE NORMAL HEART REVIEW OF IMPORTANT LANDMARKS FELIPE S TEMPLO JR., MD Anatomic & Clinical Pathology DIVISION OF LABORATORY MEDICINE PHILIPPINE HEART CENTER

The Normal Heart: Review of Important Anatomic Landmarks

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Seminar-Workshop on Cardiovascular Pathology; Congenital Heart Disease Part I: Clinical Presentation & Identification of Common Lesions National Reference Laboratory of Anatomic Pathology for Cardiac Diseases (DOH) Philippine Heart Center, Quezon City, Philippines. June 7-8, 2012

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Page 1: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

THE NORMAL HEARTREVIEW OF IMPORTANT LANDMARKS

FELIPE S TEMPLO JR., MDAnatomic & Clinical PathologyDIVISION OF LABORATORY MEDICINE

PHILIPPINE HEART CENTER

Page 2: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

OBJECTIVE

TO REVIEW THE IMPORTANT ANATOMICAL STRUCTURES FOR SEGMENTAL ANALYSIS OF THE HEART

Page 3: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

HEART IN SITU

Page 4: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

Page 5: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

ANTERIOR VIEW OF THE HEART

Page 6: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

DIAGRAMATIC REPRESENTATION OF THE HEART

Page 7: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

ANTERIOR VIEW OF THE HEART

RIGHT ATRIUM

RIGHT VENTRICLE

LEFT ATRIUM

LEFT VENTRICLE

PULMONARY ARTERY

AORTA

INFERIOR VENA CAVA

SUPERIOR VENA CAVA

Page 8: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

PULMONARY ARTERY

AORTA

APEX VIEW OF THE HEART

Page 9: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

Page 10: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

FOUR CHAMBER VIEW OF THE HEART

Page 11: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

DISSECTION OF THE HEART

Page 12: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

Page 13: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

Page 14: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

THE NORMAL HEART

Page 15: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

FOSSA OVALIS

PECTINATE MUSCLE

CRISTA TERMINALIS

LIMBUS

OPENING OF THE CORONARY SINUS

RIGHT ATRIUM

Page 16: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

RIGHT VENTRICLE

TRICUSPID VALVE

PAPILLARY MUSCLE

Page 17: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

TRABECULAE CARNAE

DORSAL CUSP

SEPTAL CUSP

VENTRAL CUSPCHORDAE

TENDINAE MODERATOR BAND

RIGHT VENTRICLE

Page 18: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

R

PULMONARY ARTERY

PULMONIC VALVE

R L

A

RIGHT VENTRICLE

SUPRAVENTRICULAR CREST

RIGHT VENTRICULAR OUTFLOW TRACT

INFUNDIBULUM

Page 19: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

POSTERIOR VIEW OF THE HEART

SUPERIOR VENA CAVA

RIGHT VENTRICLE

LEFT VENTRICLE

AORTA

RIGHT ATRIUM

LEFT ATRIUM

Page 20: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

LEFTAURICLE

MITRAL VALVE

LEFTATRIUM

PECTINATE MUSCLE

LEFT ATRIUM

AORTA

Page 21: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

POSTERIORCUSP

ANTERIORCUSP

MITRAL VALVE

LEFT VENTRICLE

Page 22: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

LEFT VENTRICULAR OUTFLOW TRACT

AORTIC VALVE

AORTA

MITRAL VALVE

L

R

P

VENTRICULAR SEPTUM

AORTIC SINUSESOPENING OF

RIGHT CORONARY ARTERY

Page 23: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

RIGHT CORONARY ARTERY

LEFTCORONARYARTERY

ANTERIOR VIEW OF THE HEART

Page 24: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

POSTERIORINTERVENTRICULARSULCUS

POSTERIOR VIEW OF THE HEART

Page 25: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

THANK YOU!

Page 26: The Normal Heart: Review of Important Anatomic Landmarks

June 7-8, 2012DLM

Cardiovascular Pathology: Congenital Heart Disease Part 1 Clinical Presentations & Identification of Common Lesions

ACKNOWLEDGEMENT DR. DINA D. MIRANDA

(PHOTOGRAPHS)