Anatomy of the Thoracic Cavity Flashcards
What is a Body Cavity?
An area of the body which confines organs and systems with related functions. Lined by serous membranes.
What makes up the Thoracic Cavity?
Lungs and Chest Wall - Lined with Pleura
Heart - Covered by Pericardium
What lines the Abdominal and Pelvic Cavities?
Peritoneum
How is the Thoracic Cavity divided?
Divided into two independant pleural cavities and the mediastinum between them
Where are the attachments of the Parietal Pleura?
- Thorax wall (Costal Pleura)
- Fascia at Thoracic Inlet (T1 and Rib 1)
- Fibrous Pericardium (Mediastinal Pleura)
- Diaphragm (Diaphragmatic Pleura)
What are the two Pleural Surfaces?
Visceral - closest to the organ
Parietal - closest to the outside of the body
What is the Mediastinum?
Space found between the pleural sacs, sternum, costal cartilages, thoracic vertebrae and the diaphragm. It is highly mobile and allows for changes in volume and pressure.
Describe the location of the Superior Mediastinum
Between the thoracic inlet and the plane of the sternal angle (T4/T5 disc)
Describe the location of the Inferior Mediastinum
Between the plane of the Sternal Angle (T4/T5 disc) and the Diaphragm
What structures are found to the right of the Mediastinum?
Structures related to the right atrium and veins:
* Superior Vena Cava
* Arch of the Azygos Vein
* Inferior Vena Cava
What structures are found to the left of the Mediastinum?
Structures related to the left ventricle and arteries:
* Left Common Carotid Artery
* Left Subclavian Artery
* Arch of Aorta
* Thoracic Aorta
What is found in the Middle Mediastinum?
- Pericardium
- Heart
- Origins of Aorta and Pulmonary Trunk
- Terminal points of Superior and Inferior Vena Cava
- Some smaller blood vessels (pulmonary veins)
- Phrenic Nerves
- Branches of Vagus
Describe the Structure of the Pericardium
Fibro-serous sac that encloses Heart and roots of the Great Vessels
What is the Function of the Pericardium?
- Anchors the heart in place without compromising cardiac movement
- Prevents overexpansion of the heart
What are the layers of Pericardium?
- Fibrous (external)
- Serous (internal)
Describe the attachments of the Fibrous Pericardium
- Adventitia of the Great Vessels
- Sternum and Costal Cartilage 3-6 (sterno-pericardial ligament)
- T5-T8 vertebrae (pericardiovertebral ligaments)
- Diaphragm (Pericardiophrenic ligament)
What are the layers of the Serous Pericardium?
- Parietal Layer
- Visceral Layer
Describe the location of the Parietal Layer of the Serous Pericardium
Lines the inner aspect of the fibrous pericardium
Describe the Visceral Layer of the Serous Pericardium
Same as the epicardium
Where is the Pericardial Cavity?
Between the Parietal and Visceral Layers of Serous Pericardium
Describe the Pericaridal Fluid
- Produced by Serous Pericardium
- Reduces Friction during contraction of heart
- Typically 10-15ml
Describe the location of the Transverse Pericardial Sinus
- Posterior to the Ascending Aorta and Pulmonary Trunk
- Anterior to the Superior Vena Cava
Describe the location of the Oblique Pericardial Sinus
Surrounded by the reflection of the Serous Pericardium around the right and left Pulmonary Veins and Inferior Vena Cava
What does the phrenic nerve innervate?
Motor supply to:
* Diaphragm
Sensory supply to:
* Mediastinal Parietal Pleura
* Peritoneum
* Parietal Pericardium
* Pleura related to the central tendon of the diaphragm
Where would you feel Phrenic Refered Pain?
- Back of Neck
- Supraclavicular Region
- Shoulder Tip
Describe the location of the Anterior Mediastinum
Bounded by sternum and xiphisternum, pericardium and lungs with pleura. Prevascular compartment.
What Structures are found within the Anterior Mediastinum?
- Thymus
- Internal Thoracic Vessels
- Lymph Nodes
- Connective Tissue
- Fat Tissue
- Lower pole of Thyroid
Describe the location of the Thymus Gland
Between the Manubrium and Sternum and the Pericardium. Extends from Jugular Notch to 4th Costal Cartilage.
Describe the Structure of the Thymus Gland
Bi-lobed organ of Lymphoid Tissue active in childhood until puberty. Increasing fibro-fatty infiltration with age
Related to:
* Pericardium
* Superior Vena Cava
* Aorta
* Left and Right Brachiocephalic Veins
* Pleura
* Phrenic Nerves
* Trachea