
The heart wall, like blood vessels in general, has three main layers, though they are not called intima, media, and adventitia. As in vessels, however, the innermost and outermost layers are primarily connective tissue; the middle one is muscle --- in this case, cardiac muscle. From left to right, then, in this picture of ventricle wall, there is first a very thin endocardium, which consists primarily of an endothelial lining and a very small amount of connective tissue underneath it. The muscle layer, or myocardium is next and is by far the thickest layer and constitutes the bulk of the heart. To the far right is the epicardium, which contains considerable fat. In gross anatomy the epicardium is called the visceral layer of the serous pericardium; it has an outermost lining layer of mesothelium.