mediastinum Flashcards
mediastinum borders
superiorly tghoracoc outlet
inferiorly diapghram
anteriorly sternum
posteriorly vc
at the sternal angle
mediastinum division
tracheal bifurication
pulmonary trunk divsion
arch of the azygous vein
the end of the ascending aorta
the beginning and end of the arch of aorta
the beginning of teh descending thoracic aorta
superior mediastinum contents
eso, trachea, large arteries and veins, thoracic duct, remenant of thymus, sympathetic trunks
anteri0or mediatsinum contents
few lymph nodes , loose connective tissue, sternopericardial ligaments , mediastinal bramches of internal thoracic artery, sometimes degenerated or remains of thymus gland
middle mediastinum contenst
1 - T h e p e r i c a r d i u m
2 - T h e h e a r t
3 - T h e a s c e n d i n g a o r t a
4 - T h e l o w e r h a l f o f t h e s u p e r i o r v e n a c a v a
5 - T h e t r a c h e a l b i f u r c a t i o n a n d b o t h m a i n b r o n c h i
6 - T h e p u l m o n a r y t r u n k a n d r i g h t a n d l e f t p u l m o n a r y
a r t e r i e s a n d v e i n s
7 - T h e r i g h t a n d l e f t p h r e n i c n e r v e s
8 - T h e d e e p p a r t o f t h e c a r d i a c p l e x u s
9 - T h e t r a c h e o b r o n c h i a l l y m p h n o d e s .
posterior mediastiunum contents
1-The descending thoracic aorta
2-Hemiazygos
3-Accessory azygos veins
4-sympathetic chains
5-splanchnic nerves
6-Vagus nerves
7-The azygos
8-The esophagus
9-The thoracic duct
10-lymph nodes
right brachiocephalis is formed by
right subclavion and right internal jugular
rbv begins at the
posteriro to the right clavicle at the medial end
rbv compared to the lbv is more
shorter and more vertical
lbv journey
it moves towards the right side passing in an inferior direction to form the superior vena cava posteriro to the lower edge of the first cc ont the right side
the lbv is more ehat compared to the rbv
longer and more horizantal
superior vena cava carries blood from the
head neck upper limbs
superior vena cava journey
begins at the posteriro lower edge of the right first cc
penetrates teh pericardium posterior to the lower edge of the 2nd right cc
and it terminates and penetrates the heart at the level of the 3rd right cc
azygous vein formation
right ascending lumbar vein and right subcostal
azygous vein passes from the
aotic opening
azygous vein journey
goes up to T5 arches forward on the root of the right lung at the level of teh sternal angle and empties into the superior vena cava posteriorly before the superiro vena cava penetrates the pericardium