Anatomie van het hart en grote vaten
Inhoud
Voorcollege............................................................................................................................................1
Practicum................................................................................................................................................4
Thoraxpreparaat.................................................................................................................................4
Pericard overzicht...........................................................................................................................4
Pericard sinus transversus en obliquus...........................................................................................5
Ventraal aanzicht hart en grote vaten............................................................................................5
Thoraxfoto......................................................................................................................................6
Hartpreparaat.....................................................................................................................................6
Buitenste hart en grote vaten.........................................................................................................7
Coronair vaten................................................................................................................................7
Geopend hart inleiding...................................................................................................................8
Rechter atrium................................................................................................................................8
Rechter ventrikel............................................................................................................................8
Linker atrium..................................................................................................................................8
Linker ventrikel...............................................................................................................................9
Hartskelet.......................................................................................................................................9
Prikkelgeleidingssysteem................................................................................................................9
Voorcollege
Hart zit in het lichaam als een omgevallen piramide
- Hartpunt wijst naar linksonder
- Van vooraf zie je vooral veel van de rechterharthelft te zien
De cavitas thoracica (borstholte) bevat 3 componenten:
- Cavitas pleuralis (pleuraholte)
- Mediastinum
o Ruimte gevuld met
bindweefsel
o Waarin bijvoorbeeld het
hart ligt
- Pericardium
o Pericardium fibrosum
(bindweefsel)
o Pericardum serosum
(sereuze vliezen)
vocht
, Lamina visceralis = epicard
Lamina parietalis
o Cavitas pericardiaca (pericardholte)
o Sinus transversus pericardii
o Sinus obliquus pericardii
Uitwendig
Anterieure zijde van het hart
- Atrium met auricula (hartoor)
- Ventrikel
- Sulcus coronarius
o Groeve tussen boezems en ventrikels
- Sulcus interventricularis anterior
o Groeve tussen de ventrikels
- Sulcus interventricularis posterior
- Apex cordis
Rechter atrium:
- Deel met gladde wand en deel met ruwe wand
(musculi Pectinati)
- Vena cava superior en Vena cava inferior (klep)
(instroom van bloed)
- Sinus coronarius (klep)
o Voert veneuze bloed uit hartwand af
- Kleppen sluiten niet af maar geven richting
- Fossa ovalis
o
Indeuking, restant van foramen ovale
Rechter ventrikel:
- Deel met gladde wand – infundibulum
- Deel met ruwe wand – trabeculae carneae
- Papilairspieren
- Truncus pulmonalis
Linker atrium
- Deel met gladde wand\
- Deel met ruwe wand
o
Musculi pectinati
- Vv. pulmonales
- Restant foramen ovale
Linker ventrikel
- Gladde wand
- Ruwe wand
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