Fig. 69.—Diagram illustrating the Structure of a Serous Membrane.
- A, the viscus, or organ, enveloped by serous membrane;
- B, layer of membrane lining cavity;
- C, membrane reflected to envelop viscus;
- D, outer layer of viscus, with blood-vessels at
- E communicating with the general circulation.
The heart does not hang free in the chest, but is suspended and kept in position to some extent by the great vessels connected with it. It is enclosed in a bell-shaped covering called the pericardium. This is really double, with two layers, one over another. The inner or serous layer covers the external surface of the heart, and is reflected back upon itself in order to form, like all membranes of this kind, a sac without an opening.[[32]] The heart is thus covered by the pericardial sac, but is not contained inside its cavity. The space between the two membranes is filled with serous fluid. This fluid permits the heart and the pericardium to glide upon one another with the least possible amount of friction.[[33]]
The heart is a hollow organ, but the cavity is divided into two parts by a muscular partition forming a left and a right side, between which there is no communication. These two cavities are each divided by a horizontal partition into an upper and a lower chamber. These partitions, however, include a set of valves which open like folding doors between the two rooms. If these doors are closed there are two separate rooms, but if open there is practically only one room. The heart thus has four chambers, two on each side. The two upper chambers are called auricles from their supposed resemblance to the ear. The two lower chambers are called ventricles, and their walls form the chief portion of the muscular substance of the organ. There are, therefore, the right and left auricles, with their thin, soft walls, and the right and left ventricles, with their thick and strong walls.
185. The Valves of the Heart. The heart is a valvular pump, which works on mechanical principles, the motive power being supplied by the contraction of its muscular fibers. Regarding the heart as a pump, its valves assume great importance. They consist of thin, but strong, triangular folds of tough membrane which hang down from the edges of the passages into the ventricles. They may be compared to swinging curtains which, by opening only one way, allow the blood to flow from the auricles to the ventricles, but by instantly folding back prevent its return.
Fig. 70.—Lateral Section of the Right Chest. (Showing the relative position of the heart and its great vessels, the œsophagus and trachea.)