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The external anatomy of the heart can be described in detail, focusing on its shape, surface features, major blood vessels, and its surrounding protective structure.

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Shape and Orientation:

  • The heart has a somewhat pyramidal or conical shape.

  • Its base is directed upwards towards the right shoulder and is broad.

  • The apex is pointed downwards and towards the left hip.

Surfaces and Margins:

  • The external surface of the heart can be divided into five smaller surfaces.

  • These surfaces are limited by four margins: the superior margin, the right margin, the inferior margin, and the left margin.

External Sulci:

  • The outer surface of the heart contains grooves known as external sulci.

  • These sulci are created by internal partitions of the heart.

  • Coronary vessels, which provide arterial blood supply and venous drainage to the heart, pass within these external grooves.

Great Vessels:

  • The heart is connected to several larger blood vessels that either arise from it or return to it.

  • These vessels are responsible for distributing blood throughout the body.

  • Due to their significant diameter, they are termed the great vessels of the heart.

Pericardium:

  • The heart and the roots of the great vessels are enveloped by a serous sac called the pericardium or pericardial sac.

  • The pericardium provides protection and anchorage for the heart while allowing smooth movement during contractions.

  • It consists of an outer fibrous layer and an inner serous layer.

Dissection by Proffesor Joko Poleksic

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