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Anatomy of the Cardiovascular System / 317

               closed cavity (the pericardial space) that   endocardium, and a thick muscular layer
                                                        called myocardium.
               contains  only  a  small  amount  of  fluid  to
  VetBooks.ir  allow frictionless movement of the beating     visceral layer of pericardium. The endocar-
                                                           The epicardium is the same as the
               heart. The heart is invaginated into the
               pericardium much like a fist thrust into an   dium is a layer of simple squamous
               inflated balloon (see Fig. 1‐9). This arrange-  endothelial cells that lines the chambers of
               ment results in two distinct layers of peri-  the heart, covers the heart valves, and is
               cardium (Fig. 17‐2). The inner layer, which   continuous with the lining of the blood
               is intimately adherent to the outer surface     vessels. The myocardium consists of car-
               of the heart, is called  visceral pericar-  diac muscle, described in Chapter 9.
               dium, or  epicardium. The outer layer,      The heart is divided into right and left
               called  parietal pericardium, is continu-  sides, which correspond to the low‐pressure
               ous with the visceral layer at the base of the   (pulmonary circulation) and high‐pressure
               heart  and  is  reinforced  by  a  superficial   (systemic circulation)  systems mentioned
               fibrous  layer  (the  fibrous pericardium),   earlier. Each side has two chambers: (1) an
               which in turn is covered by a layer of medi-  atrium, which receives blood by way of
               astinal pleura (also called pericardial   large veins and which contracts to fill; (2) a
               pleura). The parietal pericardium, fibrous   ventricle,  which  pumps  blood  from  the
               pericardium, and mediastinal pleura      heart through a large artery (Figs. 17‐3 and
               together form the pericardial sac, which   17‐4). The atria are thin‐walled chambers,
               is grossly identifiable as a thin but tough   each of which features an appendage called
               tissue surrounding the heart.            an auricle.
                  In  cattle, the apex of  the heart con-  The myocardium of the ventricles,
               tacts the dome of the diaphragm, and the   which pump blood back into vascular beds,
               reticulum in the abdominal cavity lies on   is much thicker than that of the atria. The
               the caudal side of the diaphragm. Sharp   wall of the left ventricle is also thicker than
               metallic objects (most commonly, bits of   that of the right; blood ejected from the left
               wire) that are swallowed often accumu-   side during its contraction is under higher
               late in the reticulum. The contractions of   pressure than that ejected from the right
               this organ can cause these foreign bodies   ventricle. The right ventricle does not quite
               to penetrate the adjacent diaphragm and   reach the apex of the heart, as the apex is
               the pericardial sac, resulting in an infec-  formed entirely by the more muscular left
               tion of the sac called traumatic pericar-  ventricle. The myocardium between the
               ditis, one manifestation of  hardware    two chambers is the ventricular septum.
               disease. The tissues of the pericardium     Between the atrium and the ventricle of
               thicken, and fluid builds up within the   each side is an atrioventricular valve, or
               pericardial sac, which leads to heart    A‐V valve (Fig. 17‐4). The left A‐V valve is
                 failure in affected cattle. Hardware   occasionally called the  bicuspid valve,
                 disease is usually prevented by adminis-  because in humans it has two distinct flaps,
               tering a magnet by mouth; the magnet,    or cusps. Another more commonly used
               which tends to remain in the reticulum,   synonym is  mitral valve, because of its
               gathers swallowed metallic objects and   fancied resemblance to a bishop’s miter, or
               prevents them from migrating through     two‐sided hat. The right A‐V valve is also
               the wall of the forestomach.             called the  tricuspid valve because in
                                                        humans it has three flaps or cusps. The
                                                        thin valve leaflets are attached to the inner
               Cardiac Anatomy                          wall of the ventricle at the junction of
                                                        atrium and ventricle. The free margins of
               The heart wall consists of three layers: a   the cusp are tethered to the interior of the
               thin, outer serous covering called epicar-  ventricular wall by fibrous cords called
               dium; a thin, inner endothelial lining called   chordae tendineae. The chordae tendineae
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