00:01
When you open up the chest cavity,
you're probably imagining that
you're going to see the heart
sitting right there, just like
you've probably seen it in pictures.
00:09
But that's not the case.
00:11
That's because the hearts
actually protected
by something that's not
talked about very much,
called the pericardium.
00:18
And that's actually what you'll
see when you open up the chest
before you actually see
the heart itself.
00:24
So it's hidden from our view here
by a tough connective tissue sheath
called the fibrous pericardium.
00:32
Providing a nice sort of
protective sac around the heart.
00:37
And this fibrous pericardium,
as you can see here,
is also where the left and right
phrenic nerves travel
through the mediastinum on their
way to innervate the diaphragm.
00:49
We're going to have to remove this
fibrous pericardium
to actually see the heart.
00:56
And of course, the location
of these phrenic nerves
probably tell you that
they're what are going to innervate
the pericardium.
01:04
So instead, let's look
at the blood supply.
01:07
The blood supply coming
off of these branches
of the internal
thoracic artery called
the pericardial phrenic arteries.
01:16
Very appropriately named because
not only are they
supplying the pericardium,
but they're on their way down
to the diaphragm as well.
01:26
And similarly, we have
pericardial phrenic veins.
01:29
And they're draining back up
to the internal thoracic veins.
01:35
The pericardium, though,
is more than just
a tough fibrous outer layer though.
01:39
In order to understand the
finer details of the pericardium,
we're gonna have to zoom in
at the edge of the pericardium
to get a better idea here.
01:49
The outer part, the tough
fibrous pericardium,
that's for protection,
and it's going to protect the heart
underneath it, which is mostly
muscle called myocardium.
01:59
There are different layers,
but the majority of it is
this muscle called myocardium.
02:04
Sitting on top of that
myocardium though,
is actually another layer of
pericardium, a serous pericardium
and it's called the visceral
layer of the serous pericardium.
02:16
It doubles back on itself
to form an outer layer
called the parietal layer
of serous pericardium
that's attached to the deep
surface of the fibrous pericardium.
02:29
And we're fibrous tells you
something about its nature
that it's a tough protective layer.
Serous also does.
02:35
Because serous kind of
in this sense means watery.
02:38
And the parietal and visceral
layers of the serous pericardium
are making a watery substance
called pericardial fluid.
02:47
It's probably sounds very similar
to pleural fluid.
02:51
Because it is.
It's something that is going to help
decrease friction between
the visceral and parietal layers
of the serous pericardium
as the heart is constantly beating
from beat to beat.