1. Surface & radiological anatomy of heart & valves
Dr. Sama ul Haque

2. Objectives Delineate the surface anatomy of the heart and valves.
Explain the radiological anatomy of the heart.

3. Surface anatomy of the Heart Valves

4. Location of Heart

5. 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.

7. 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.

9. Auscultation Areas
Surface Anatomy
Left

10. Radiological anatomy of the Heart

11. Essentials Before Getting Started
Pathway of x-ray beam PA AP
Patient Position
Upright
Supine

12. Erect Posture (A-P View)

13. Erect Posture (P-A View)

14. Supine Posture (A-P View)

15. Densities (1) WHITE - Bone (2) BLACK - Air The others are:
The big two densities are:
(1) WHITE - Bone
(2) BLACK - Air
The others are:
(3) DARK GREY- Fat
(4) GREY- Soft tissue/water
And if anything Man-made is on the film, it is:
(5) BRIGHT WHITE - Man-made

16. Densities

17. X-Ray Chest

18. Heart

19. Heart

20. Right Border
Left Border

21. Thank You