Surface anatomy of heart
1Apex of the Heart
It is situated in the left 5th intercostal space just medial to midclavicalar line.
Related questions: How it is formed?
Ans: It is formed by only left ventricle of the heart.
2. Right border of the Heart
1st point: On the upper border of the right 3rd costal cartilage about 2.5 cm from the median plane.
2nd point: on the right 6th costal cartilage about 2.5 cm from the median plane
Join these two points by a convex line towards the right.
SN: (The maximum convexity of which lies at a distance of 3.25am from the median plane in the 4th intercostal space.)
Related questions:
How it is formed? Ans: it is formed by right atrium
3. Left Border of Heart
1) 1st Point – On the lower border of the left 2nd costal cartilage about 2.5 cm from the median plane.
2) 2nd point- At the apex beat left 5th intercostal space just medial to mid-clavicular line Join these two points by line with convexity directed upwards and to the left.
Related questions:
How it is formed? Ans: it is formed by left ventricle of the heart
4. Lower border of the Heart
1st point: on the right 6th costal cartilage about 2.5 cm from the median plane
2nd point-At the apex beat left 5th intercostal space just medial to mid-clavicular line
Join these two points with slight notch to the right of the apex of the heart.
Inferior border passes through the xiphisternal junction
Related questions: How it is formed? Ans: it is formed by mostly by right ventricle and partly by left ventricle
5. Upper border of the Heart
1st point: On the upper border of the right 3rd costal cartilage about 2.5 cm from the median plane.
2nd point: On the lower border of the left 2nd costal cartilage about 2.5 cm from the median plane.
Join these points.
Related questions: How it is formed? Ans: 1/3 of right atrium and 2/3 of left atrium are formed this border
6. Arch of the Aorta
1) 1st point –On the right end of the sternal angle.
2) 2nd point –On the centre of the manubrium sterni
3)3rd point- sternal end of left 2nd costal cartilage
Join the points by a curved line which represents the outer border of the arch of aorta; then the inner border is drawn below & paralled to it about 2.5 cm apart .
Importance points : It is the continuation of ascending aorta and It is continued as descending thoracic aorta
Related questions : What are the branches of arch of aorta?
- brachiocephalic artery/ trunk : right common carotid and right subclavian artery
- left common carotid artery
- left subclavian artery
What is the type of these arteries? Ans : elastic artery.
Why they known as elastic artery? They contain large numbers of elastic lamina within the tunica media.
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