Mediastinum Flashcards

1
Q

Whats in the superior Mediastinum?

A

Thymus Gland, great vessels of heart, trachea, esophagus, thoracic duct

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2
Q

Whats in the Anterior Mediastinum?

A

Between pericardium and sternum

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3
Q

Whats in the Middle Mediastinum?

A

heart and pericardium, parts of the great vessels, phrenic nerve, primary bronchi

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4
Q

Whats in the Posterior Mediastinum?

A

Descending aorta, esophagus, azygos/hemiazygos vv, thoracic duct

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5
Q

Innervation of the heart?

A

Parasympathetic: Vagus nerve Sympathetic: Sympathetic trunks

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6
Q

Where does it go? Anterior interventricular a. AKA Left anterior descending a. (LAD)

A

Serves both L and R ventricle on anterior surface and inter ventricular septum.

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7
Q

Where does it go? Circumflex artery.

A

Travels in coronary sulcus and branches to serve left ventricle and atrium!.

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8
Q

where does it go? Marginal artery

A

Margin of right ventricle. supplies right ventricle. not atrium.

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9
Q

where does it go? Posterior interventricular artery AKA Posterior descending artery.

A

Supplies both left and right ventricle. and IV septum.

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10
Q

Cool thing about anterior and posterior interventricler arteries.

A

they anastamose!

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11
Q

What are the 6 coronary artery that we need to know?

A

LCA RCA Circumflex Marginal LAD PDA

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12
Q

What are they 4 coronary veins we need to know.

A

Great cardiac vein middle cardiac vein small Cardiac vein Coronary sinus

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13
Q

Great cardiac vein

A

ant. walls of both ventricles and IVS

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14
Q

Middle cardiac vein

A

Pos. ventricle walls and IVS

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15
Q

small Cardiac vein

A

right ventricle (same as marginal a.)

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16
Q

Coronary sinus

A

Drains everything.

17
Q

What is Cardiac Tamponade?

A

Bleeding into pericardial space.

18
Q

In general, what is coarctation of the Aorta?

A

Narrowing of the aortic arc of the thoracic aorta. Most commonly near the ligament arteriosum.

19
Q

What are the different types of aortic coarctations?

A

Postductal coarctations result in development of collateral circulation via intercostal arteries. This usually results in adequate blood flow and sometimes a palpable pulse in the intercostal space.

20
Q

What is the pericardium attached to?

A
  • Diaphragm
  • sternum
  • Ascending aorta
  • pulmonary trunk
  • superior vena cava
  • pulmonary veins
21
Q

What is the Crista Terminalis?

A
  • Junction of the sinus venosus and the heart during development.
  • Ends up being the separation of the smooth and rough parts pf the right atrium.
22
Q

What 3 vessels are pften used for a coronary bypass graft?

A

Great Saphenous vein

Internal thoracic artery

Radial artery

23
Q

Name the 5 fetal circulatory structures and what they turn into?

A

Foramen Ovale (fossa Ovalis)

Umbilical vein (Ligamentum Teres)

Umbilical arteries (Umbilical ligaments)

Ductus arteriosus (Ligamentum Arteriosum)

Ductus venosus (Ligamentum venosum)

24
Q

What is Tetrology of Fallot?

A
  • Pulmonary Trunk Stenosis
  • VSD
  • Overriding aorta
  • RV hypertrophy
25
Q

What type of coarctation is better?

A

Post ductal is better.