SISTEMA CIRCULASI

COR
ARTERI VENA
LYMPHE - LYMPHONODUS

Dr. Rudianto Joto, M. Kes 1

 COR
(=Cordis, kardia ,jantung)

Organ muscular
Bentuk conus,
sebesar kepalan tinju
Letak :
- Diantara ke-2 pulmo
- Di atas diaphragma
- Menempati
mediastinum medius
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Location in Thorax

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 Location in Thorax

Largest organ in
mediastinum
Lies posterior to
sternum and
costal cartilages
Rests on
superior surface
of diaphragm

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 MORFOLOGI COR

Basis cordis
Facies sternocostalis
Facies sinister
Facies diaphragmatica

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 APEX CORDIS
Bagian ventriculus
sinister
Letak :
- Ruang intercostalis 5
kiri
- 9 cm dari linea
mediana sinistra
- 2 jari medial linea
medioclavicularis sinistra

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Posisi :

Basis di cranial
Apex di caudal
2/3 bagian di kiri linea
mediana
Sumbu cordis :
Dari basis ke apex
Miring dari craniodorsal ke
caudoventral

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 BASIS CORDIS

Di cranialis : arah
craniodorsal kanan
Dibentuk oleh:
- Sebagian atrium sinistra
dan dextra
- Bagian proximal:
Pembuluh darah besar

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 The Heart

Aortae

Vena cava superior Truncus pulmonalis

Auricula dextra Auricula sinistra

Atrium cordis
dextra

Ventriculus dextra Ventriculus sinistra

Vena cava inferior Apex cordis

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 Cor dewasa:
Ukuran : p = 12 cm, L = 8-9
cm, T = 6 cm
Berat : Pria: 280-340 gr ,
Wanita= 230-280 gr
Dinding 3 lapis:
Epicardium (luar)
Myocardium (tengah)
Endocardium (dalam)

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 BAGIAN-BAGIAN COR

atrium dextra
atrium sinister
ventriculus dexter
ventriculus sinister

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 ATRIUM DEXTER

lebih besar dari sinister

dinding tipis
2 bagian : Sinus venorum &
auricula dextra (mm.
pectinati)
Bermuara :
- Vena cava superior
- Vena cava inferior
- Sinus coronaries

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 ATRIUM SINISTER

Terdapat sinus venorum dan

auricula sinistra
Bermuara vena pulmonalis

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 Antara Atrium Sinister & Dextra

Terdapat SEPTUM
INTERATRIORUM
(=septum atriorum)

Sisa FORAMEN
OVALE
(FOSSA OVALIS)

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 VENTRICULUS DEXTER

Ostium atrioventriculare
dexter dengan 3 katup
(VALVULA TRICUSPIDALIS)
Chordae tendinae
Trabeculae carnae
M. papillaris
Terdpt pangkal Arteri
Pulmonalis

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 VENTRICULUS SINISTER
membentuk apex cordis
dinding 3 x lebih tebal
Ostium Atrioventriculare
sinister 2 katup (VALVULA
BICUSPIDALIS = VALVULA MITRALIS)
Chordae tendinae
Trabeculae carnae
M. papillaris
Pangkal dari aorta

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Heart Valves

Figure 18.8a, b
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 CIRCULASI SISTEMIK

ALIRAN DARAH
ARTERI : dinding otot polos,
berdenyut
VENA : dinding tipis, valvula
COR AORTA ARTERI
ARTERIOLE CAPILER
JARINGAN
capiler venule vena
vena cava superior et
inferior-cor

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 a.Carotis communis sinistra

Arteri Anonyma
a.Subclavia sinistra
Arcus aorta
Aorta descendens
Aorta ascendens

a.Coronaria sinistra
a.Coronaria dextra

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 AORTA

AORTA ASCENDENS:
mempercabangkan
a.coronaria sinistra dan
a.coronaria dextra
ARCUS AORTA
AORTA DESCENDENS (=AORTA
THORACALIS) Melanjutkan diri
menjadi AORTA ABDOMINALIS

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 ARCUS AORTA
1 2 3

a. anonyma (=truncus
brachiocephalicus)
- a. carotis communis dextra
- A. subclavia dextra
a. carotis communis
sinistra
a. subclavia sinistra

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ARCUS AORTAE :
A.SUBCLAVIA a.axillaris
a.brachialis a.ulnaris
a.radialis (processus
styloideus)
A.CAROTIS COMMUNIS :
a.carotis externa a.carotis
interna

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Aorta ascendens arcus aortae
aorta descendens (= aorta
thoracalis ) aorta
abdominalis arteria iliaca
communis a.iliaca interna-
a.ilica externa a.femoralis
a.poplitea a.tibialis anterior
a.tibialis posterior
a.dorsalis pedis

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CIRCULASI PULMONAL

ventriculus dexter
arteria pulmonalis
Pulmo
Pergantian CO2 dengan O2 (darah
eritrosit)
vena pulmonalis
atrium sinistrum

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The Alveoli

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CIRCULASI CORONER

vascularisasi myocardium
a.coronaria dextra et
sinistra
v.cordis
v. cordis
sinus coronarius
Sinus coronarius
atrium dextrum

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2 1 1 2

1. Vena cordis
1. a.Coronaria sinistra
2. Sinus coronarius
2. a.Coronaria dextra

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ALIRAN DARAH VENA :

EXTREMITAS INFERIOR : vena saphena

magna - v.saphena parva v.femoralis
v.iliaca vena cava inferior
EXTREMITAS SUPERIOR : v.cephalica,
v.ulnaris-v.radialis v.brachialis
v.axillaris-v.subclavia

CAPUT dan COLLUM :

V.JUGULARIS INTERNA VENA CAVA
SUPERIOR
VENA CAVA SUPERIOR dan VENA CAVA
INFERIOR bermuara kedalam ATRIUM
DEXTRUM

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Blood Circulation

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31
 CIRCULASI PORTAL

V.MESENTERICA SUPERIOR
V.MESENTERICA INFERIOR
V.LIENALIS

VENA PORTA PORTA HEPATIS

ABSORBSI BAHAN MAKANAN

Bendungan : ascites hemorrhoid -
hematemesis

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 CIRCULUS ARTERIOSUS WILLISI

ENCEPHALON
A.CAROTIS INTERNA
A.BASILARIS (dibentuk oleh
a. vertebralis)

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 Circle of Willis = Cerebral Arterial Circle

= Ring of vessels surrounding pituitary

gland - supplies cerebrum and ic
cerebellum

Brain can receive blood from carotids or

vertebrals B

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Circle of Willis

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 ALIRAN LIQUOR CEREBROSPINALIS
FILTRASI DARAH
PLEXUS CHORIOIDEUS
VENTRICULUS SPATIUM
SUBARACHNOIDEUM
SINUS VENOSUS
VENA JUGULARIS INTERNA
NUTRISI

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 SISTEMA LYMPHATICA

LYMPHE (= CAIRAN JARINGAN) , bening

PEMBULUH LYMPHE
LYMPHONODUS :
-LYMPHONODUS AXILLARIS
-LYMPHONODUS INGUINALIS
-LYMPHONODUS CERVICALIS
-LYMPHONODUS VISCERALIS :
(viscera abdominis cisterna chyli (chylus)
ductus thoracicus pembuluh vena)

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 Distribution of LNs

- Cervical lymph nodes - drain head and neck

- Axillary lymph nodes - drain arms and breasts
- Popliteal lymph nodes - drain legs, drain into
- Inguinal lymph nodes - drain lower limb
- Thoracic lymph nodes - drain thoracic viscera
- Abdominal lymph nodes - drain pelvic region
- Intestinal and mesenteric lymph nodes - drain abdominal viscera

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 Right
lymphatic
duct

Right Left subclavian vein

subclavian
vein

Thoracic (left lymphatic) duct

Lymph capillaries converge to
become collecting vessels and
end up as either
Thoracic duct or right
lymphatic duct

Cysterna Chyli

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largest 41
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