Wikipedia - Pericardium
| Pericardium | |
|---|---|
the whole heart enclosed four chambers.
Image2 = Gray968.png |
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| Gray's | subject #137 524 |
| Artery | pericardiacophrenic artery |
| MeSH | Pericardium |
The pericardium (from the Greek πεÏι, "around" and κάÏδιον, "heart" /perikardion/) is a double-walled sac that contains the heart and the roots of the great vessels.
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[edit] Layers
There are two layers to the pericardial sac: the fibrous pericardium and the serous pericardium. The serous pericardium, in turn, is divided into two layers, the parietal pericardium, which is fused to and inseparable from the fibrous pericardium, and the visceral pericardium, which is part of the epicardium. The epicardium is the layer immediately outside of the heart muscle proper (the myocardium).
The visceral layer extends to the beginning of the great vessels, becoming one with the parietal layer of the serous pericardium. This happens at two areas; where the aorta and pulmonary trunk leave the heart and where the superior vena cava, inferior vena cava and pulmonary veins enter the heart.
In between the parietal and visceral pericardial layers there is a potential space called the pericardial cavity. It is normally lubricated by a film of pericardial fluid. Too much fluid in the cavity (such as in a pericardial effusion) can result in pericardial tamponade (compression of the heart within the pericardial sac). A pericardectomy is sometimes needed in these cases.
[edit] Functions
- Protection
- Lubrication
[edit] Anatomical relationships
- Surrounds heart and bases of pulmonary artery and aorta.
- Deep to sternum and anterior chest wall.
- The right phrenic nerve passes to the right of the pericardium.
- The left phrenic nerve passes over the pericardium of the left ventricle.
- Pericardial arteries supply blood to the dorsal portion of the pericardium.
[edit] Diseases/Abnormalities
- Pericarditis resulting in pericardial friction rub
- Pericardial effusion which may lead to cardiac tamponade.
- Cardiac Tamponade as a primary pathology following traumatic injury.
[edit] Relating topics
[edit] Additional images
[edit] References
- Schimmel, Annemarie (1975). Mystical Dimensions of Islam. Chapel Hill: University of North Carolina Press. ISBN 978-0-8078-1271-6.
[edit] External links
- SUNY Labs 21:st-1500 - "Mediastinum: Pericardium (pericardial sac)"
- thoraxlesson4 at The Anatomy Lesson by Wesley Norman (Georgetown University) (heartpericardium)
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Pericardium".






