jantung dan pembuluh darah 2
TRANSCRIPT
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JANTUNG DAN PEMBULUH DARAH
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1. Mediastinum : a. Klasifikasi b. Struktur di dalamnya
2. Pericardium :a. Lapisan-lapisannya
3. Jantung :a. Bentukb. Dindingc. Permukaan
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d. batase. posisif. ruangg. katuph. sistem konduksi jantung
4. Pembuluh darah dalam sistem sirkulasi sistemik, pulmonal & koroner
5. Sirkulasi fetal
6. Persarafan & pembuluh limf jantung 3
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CAVUM THORAX
TENGAH LATERAL
MEDIASTINUM
SUPERIOR INFERIOR
ANTERIOR MEDIUM POSTERIOR
cor paru4
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MEDIASTINUM SUPERIOR
Batas : Isi :
Anterior Posterior ThymusTrachea
Manubrium- V Th1-4 Oesophagussterni Duct.thoracicus
Truncus symphaticus Arteri & vena besar
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MEDIASTINUM INFERIOR
ANTERIOR MEDIUM POSTERIOR
Ant:corpus sterni Pericardium PericardiumPost:pericardium Pericardium V Th IV-XII
COR
Mediastinum sup-------------------infbid.imajiner dr angulus sterni tepi bwh corpus vert Th IV
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Isi mediastinum anterior :pemb.lymph Kelenjar lymph Cab.a.thoracica interna
Isi mediastinum posterior : Aorta pars thoracica Ductus thoracicus Kelenjar lymph V.azygos Oesophagus Plexus oesophagealis Ke-2 truncus symphaticus thoracal & Nn.splancnici th.7
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COR apex cordis Bentuk: piramid
basis cordis
Lokasi: Pembungkus:Mediastinum- Pericardiummedius
Permukaan: facies sternocostalis ( anterior ) facies posterior / basis facies diaphragmatica ( inferior )
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PERICARDIUM
FIBROSA: SEROSA:
Inf: centrum tendineum Lamina parietalisSup: membungkus aorta, cavitas pericardiaca
trunc.pulmo.,V.Cava- Lamina visceralissuperior & inferior, ( epicardium )Vv.pulmonales. Cairan pericardial
Ant: lig.sternopericardiaca pelumas
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• VASCULARISASI :a. a.pericardiacophrenica ( berjln bersama n.phrenicus
) a.thoracica interna b.a.musculophrenica a.thoracica internac. Cab.aorta thoracalis ( Rr.bronchiales,
Rr.oesophageales )d.A.coronaria ( utk lamina visceralis )Vena : v.pericardiacophrenica & v.azygos
• INERVASI :a. n.phrenicus dx & sin ( C3-5)b.N.Xc. Truncus symphaticus 12
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PERMUKAAN JANTUNG
1. FACIES ANTERIOR : Dibtk ventriculus dexter
sulcus atrioventricularis atrium dexter dextra
a.coronaria dextrav.cordis parva
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Atrium sin ---- ventr.sin : sulcus atrioventr.sin
R.circumflexa a.coronaria sin.v.cordis magna
Sulcus interventr.ant a.v.interventr.ant
Sulcus interventr.post a.interventr.post v.cordis
media/v.interventr.post
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Bts kanan jantung :cart.costa III dx --- cart.costa VI dx
Bts kiri : cart.costa II sin — apex cordis
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2. FACIES POSTERIORDibtk dind.posterior atrium sin. & atr.dx
Bts ats jantung cart.costa II sin--cart.costa III dx
3. FACIES INFERIOR Dibtk ventriculus dx
sulcus interventricularis ventriculus sin perm.inf.atrium dx
Bts bwh cart.costa VI dx-–apex cordis17
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APEX CORDIS : Dibtk vent.sin ( ke bwh, dpn & sin ) Setinggi RIC V, 7-9 cm dr bidang median Palpasi (+)
BASIS CORDIS : • Tmpt keluar aorta ascendens & truncus pulmonalis• Tmpt msk v.cava superior
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RUANG-RUANG JANTUNG
Atrium dexter
Ventriculus dexter Ventriculus sinister
Atrium sinister
Dind.cor ( luar dlm ) :a.Epicardiumb.Myocardiumc.endocardium
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1. ATRIUM DEXTER
Atrium dx—auricula dx : sulcus terminalis perm.dlm : crista terminalis Mm.pectinati
Atr.dx --- atr.sin : septum interatriale Sisa embriologis (pd septum interatriale):a. Fossa ovalis ( sisa dr foramen ovale ) b. Anulus ovalis ( tepi ats fossa ovalis )
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SA Node : dind.atr dx di bgn ats sulcus terminalis AV Node : bgn bwh septum interatrial di dkt
ostium sinus coronarius
Muara dr :a. V.cava superior ( katup {-} ) ½ bgn ats tbhb. V.cava inferior ½ bgn bwh tbhc. Sinus coronarius
v.cordis magna v.cordis parva v.cordis media23
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• Atr. dx --------ventr.dx-------truncus pulmo. ostium AV dx ostium trunci pulmonalis
valva AV dx/tricuspidalis valva pulmonalis (3 cuspis )
• Dind. lbh tebal dr atr.dx
• Vent.dx ---- ventr.sin : septum interventricularis
• Mm.papillares
• Apex m.papillaris chordae tendineae katup tricuspidalis26
2. VENTRICULUS DEXTER
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Valva tricuspidalis :a. Cuspis anteriorb.Cuspis posteriorc. Cuspis septalis
Bgn ats : INFUNDIBULUM truncus pulmonalis
• Trabecula septomarginalis/moderator band : septum interventricularis dind. anterior ventriculus dx
• Moderator band right bundle branch (RBB) 27
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• Lbh kecil & lbh tebal drpd atrium dx
• Auricula sinistra Mm.pectinati
• Muara dr : Vv.pulmonales ( 4 bh : 2 dr masing-masing paru ) katup (-)
• Atrium sin ------------ Ventr.sin ostium AV sin.
valva bicuspidalis/mitralis :a. cuspis anteriorb. cuspis posterior
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3. ATRIUM SINISTER
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• Ventr.sin---- ------Aortaostium aorta
valva semilunaris aorta / valva aorta ( 3 cuspis )
• Dind= 3x tebal dind.ventr.dx tekanan drhnya 6x tek.drh ventr.dx
• Ostium AV sin valva mitralis chorda tendineae Mm.papillares ant. & post.
• Trabecula carneae (+)• Trabecula septomarginalis (-)
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4. VENTRICULUS SINISTER
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