Cardiovascular Anatomy Flashcards
The mediastinum is
The part of the thoracic cavity that lies between the lungs
The mediastinum extends from the
- superior thoracic aperture superiorly to the diaphragm inferiorly
- sternum anteriorly to the thoracic vertebrae posteriorly
The mediastinum contains:
- The heart and pericardium
- The great vessels that enter and leave the heart
- The veins that drain the chest wall
- The trachea and main bronchi
- The oesophagus
- Nerves - somatic and autonomic
- Lymphatics
- The thymus gland
The mediastinum is divided into
a superior and inferior compartment
The line between these compartments run from
the sternal angle anteriorly to the T4/T5 junction posteriorly
The inferior mediastinum is further divided into
anterior, middle and posterior compartments
The anterior mediastinum
- lies between the posterior aspect of the sternum and anterior aspect of the pericardial sac
- is a narrow space that contains the thymus gland in children and its remnant in adults
The middle mediastinum contains
the heart inside the pericardial sac, the pulmonary trunk and the ascending aorta
The posterior mediastinum lies between
the posterior aspect of the pericardial sac and the vertebrae
The main contents of superior mediastinum are the
- aortic arch and its three branches
- superior vena cava and left and right brachiocephalic veins
- trachea
- oesophagus
- phrenic nerves and vagus nerves
- thoracic duct
- thymus gland
The aorta
leaves the left ventricle and carries oxygenated blood to systemic circulation
The ascending aorta
- is the short first part
- gives rise to the coronary arteries
The aortic arch
- curves posteriorly
- lies in the superior mediastinum
The aortic arch gives rise to which three major branches that supply the upper body?
- the brachiocephalic trunk
- the left common carotid artery
- the left subclavian artery
The brachiocephalic trunk
bifurcates into:
- the right common carotid artery which supplies the right side of the head and neck
- the right subclavian artery which supplies the right upper limb