Surface & radiological Surface & radiological anatomy of heart & valvesanatomy of heart & valves

Dr. Sama ul HaqueDr. Sama ul Haque

ObjectivesObjectives

• Delineate the surface anatomy of the heart and valves.

• Explain the radiological anatomy of the heart.

Surface anatomy of the Heart Valves

Location of Heart

Surface anatomy of the heart valves Surface anatomy of the heart valves

Tricuspid Valve:

Lies behind the right half of the sternum

opposite the 4th intercostal space.

Mitral Valve:

Lies behind the left half of the sternum

opposite the 4th costal cartilage.

Surface anatomy of the heart valves Surface anatomy of the heart valves

Pulmonary Valve:

Lies behind the medial end of the 3rd left

costal cartilage and the adjoining part of the

sternum.

Aortic Valve:

Lies behind the left half of the sternum

opposite the 3rd intercostal space.

Auscultation Areas

Surface Anatomy

Left

Radiological anatomy of the Heart

Essentials Before Getting Started

Pathway of x-ray beam PA AP

Patient Position Upright Supine

Erect Posture (A-P View)

Erect Posture (P-A View)

Supine Posture (A-P View)

Densities The big two densities are:The big two densities are:

(1) WHITE - Bone(1) WHITE - Bone

(2) BLACK - Air(2) BLACK - Air

The others are:The others are:

(3) DARK GREY- Fat (3) DARK GREY- Fat

(4) GREY- Soft tissue/water(4) GREY- Soft tissue/water

And if anything Man-made is on the And if anything Man-made is on the film, it is:film, it is:

(5) BRIGHT WHITE - Man-made(5) BRIGHT WHITE - Man-made

Densities

X-Ray Chest

Heart

Heart

Right Border Left Border

Thank YouThank You