Mediastinum Flashcards
Mediastinum Definition
space btw the two pleural sacs
contains all structures of thorax except for lungs and pleura
Superior Border
Thoracic Inlet
Inferior Border
Diaphragm
Anterior Border
Sternum and Costal Cartilages
Posterior Border
Thoracic Vertebrae
Division
Superior - all above sternal angle
Inferior - all below sternal angle
Inferior is divided into…
Anterior
Middle
Posterior
Superior Division Borders
Superior to sternal angle
Level of T4-T5
Structures in Superior Division
Thymus Brachiocephalic Veins SVC Aortic arch and branches Vagus Left recurrent laryngeal nerve Phrenic Trachea Thoracic Duct Esophagus Sympathetic Chain
Thymus
Superior mediastinum
Infancy and chilhood is posterior to manubrium
Adulthood it is mainly adipose tissue, only 10% is functioning
Brachiocephalic Veins
Superior Mediastinum
Form from union of internal jugular veins with subclavian
Left is twice as long as right
Branches from Aortic Arch
superior mediastinum
Brachiocephalic artery
Left CC
Left Subclavian
Inferior mediastinum Border
Inferior to sternal angle
T4-T5 through T12 vertebrae
Anterior Mediastinum Borders
Anteriorly = sternum and transversus thoracis Posteriorly = pericardium
Anterior Mediastinum Structures
Remains of thymus Loose CT Fat Lymph nodes Vessels Branches of internal thoracic artery Sternopericardial ligament