Anatomía Cardiaca

Titular: Dr. Harold Goerne Ortiz

Dra. Pamela Saldivar B. R3RX
 Generalidades

Órgano hueco y muscular

del mediastino medio.

Mide 12 x 8,5 x 6 cm
310 g
255 g
Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Relaciones

https://radiopaedia.org/articles/heart?lang=us
 Pericardio
Membrana que rodea el corazón y el
orígen de los grandes vasos

• Pericardio fibroso
• Pericardio seroso
• Pericardio parietal
• Pericardio visceral

 Liquido seroso  15 – 50 ml.

 Espesor:  2 mm

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Pericardio

• Recesos pericárdicos

 Superior
 Transverso
 Oblicuo

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
Válvulas

Atrio-Ventriculares
Mitral
Tricúspide

Semilunares
Aortica
Pulmonar

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Válvulas IV

Mitral
• Anillo fibroso (VAo)
• Músculos papilares

Tricúspide
• Apical
• Músculos papilares

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Válvulas Semilunares

Aortica
• 3 cúspides
Der/Izq/No coronaria
• Seno de valsalva

Pulmonar
• Cresta
supraventricularis
Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
 Atrios

1. Componente venoso
2. Vestíbulo de la válvula AV
3. Orejuela
4. Componente septal

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
 Atrio Derecho
Vena Cava Superior

Seno coronario  retorno venoso

Vena Cava Inferior

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Atrio Derecho Válvula de Eustaquio

Válvula de Tebesio

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Atrio Derecho
Separa la parte lisa
Crista Terminalis de la trabecular

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 • Forma
Atrio Derecho • Base ancha
Orejuela • Trabecularizada

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Ventrículo Derecho

 Espesor 3 mm

• Trabeculaciones apicales
• Cuerdas tendinosas
septales

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Ventrículo Derecho

• Infundíbulo
• Músculos papilares

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Ventrículo Derecho
Banda Moderadora

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Atrio Izquierdo
Componente Venoso 4 venas pulmonares

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Atrio Izquierdo
Orejuela • Digitiforme
• Músculos pectíneos

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Ventrículo Izquierdo

• Espesor
• 7-8 mm pared lateral
• 9 mm ápice
• Tracto de entrada y de
salida

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Ventrículo Izquierdo

Músculos papilares

Chordae tendineae

- Trabeculaciones finas
- Tabique liso

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Septo IV

• Convexo a la derecha
• Porción membranosa

Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomyv
 Surcos Cardiacos
Atrio-Ventricular

Interatrial

Interventricular ant.

Interventricular post.

https://radiopaedia.org/articles/heart?lang=us
Red coronaria

1. Arterias coronarias
2. Capilares
3. Venas coronarias

FINAL DE DIASTOLE

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Arterias Coronarias

Arteria Coronaria Derecha

(RCA)

Arteria Coronaria Izquierda

(LCA)

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Arterias Coronarias LCA

1. Arteria circunfleja (Cx)

2. Arteria descendente anterior (LAD)
 Arteria intermediaria 15%

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Arterias Coronarias LCA

 LAD  Cx
• Ramas diagonales • Ramas marginales obtusas
• Ramas septales

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Arterias Coronarias RCA

1. Rama del cono 50-60%

2. A. nodo sinusal 60%
3. Diagonales
4.Gran rama marginal
5. A. Descendente posterior 65%
(DOMINANCIA)

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Arterias Coronarias RCA

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
 Segmentación Cardiaca
• LAD 1, 2, 7, 8, 13, 14 y 17
• RCA 3, 4, 9, 10 y 15
• LCx 5, 6, 11, 12 y 16

ANTERIOR

L
S
A
E
T
P E
T R
A A
L L

INFERIOR
Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging, Volume I, Elsevier, Chapter 2, Cardiac Anatomy
Arterias Coronarias

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Venas Coronarias
Sistema venoso cardíaco es variable

Seno coronario

Coronarias anteriores

Tebesio

 VMI - 83%  VP del VI - 55%

Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know, James P. O’Brien, RadioGraphics 2007.
Bibliografía
 Dharshan Raj Vummidi and Gautham P. Reddy, Cardiovascular Imaging,
Volume I, Elsevier, Chapter 2, Cardiac Anatomy.
 Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to
Know, James P. O’Brien, RadioGraphics 2007.
 http://www.radiologyassistant.nl/en/p48ce14c4dcd2e/cardiac-
anatomy.html
 https://radiopaedia.org/articles/heart?lang=us