Superior Mediastinum Flashcards
What is the mediastinum and where is it located?
Central compartment of the thorax Located between left and right pleural cavities
Where does the mediastinum divide into the superior and inferior mediastinum?
T4/5
What are the other names for T4/5?
The sternal angle Transverse Thoracic Plane
Complete the diagram of the mediastinum
What 3 parts is the inferior mediastinum divided into?
- Anterior mediastinum
- Middle mediastinum
- Posterior mediastinum
What are the boundaries of the superior mediastinum?
Superior
Inferior
Anterior
Posterior
Lateral
Superior: superior thoracic aperture (manubrium, 1st rib and costal cartilage, T1 vertebra)
Inferior: transverse thoracic plane (sternal angle to vertebral level T4/T5)
Anterior: Manubrium
Posterior: T1-T4/5 vertebral bodies
Lateral: Mediastinal pleura
What are the boundaries of the anterior mediastinum?
Anteriorly
Posteriorly
Inferiorly
Superiorly
Anteriorly - Sternum
Posteriorly - Pericardial sac
Inferiorly - Diaphragm
Superiorly - Level T4/5
What 7 structures reside in the superior mediastinum?
- Arteries (arch of aorta and branches)
- Veins (brachiocephalic veins, superior vena cava)
- Phrenic and Vagus nerves
- Oesophagus
- Trachea
- Thoracic duct
- Thymus gland (part)
Where is the thymus gland located?
Immediately deep to the sternum in Superior AND Anterior Mediastinum
What type of organ is the thymus gland?
Lymphoid organ
Where are T and B lymphocytes produced and matured?
T and B lymphocytes are produced in bone marrow. Bs mature in bone marrow, Ts mature in Thymus.
Which 3 nodes does lymph drain from at the thymus gland?
Parasternal nodes
Brachiocephalic nodes
Tracheobronchial nodes
At what stage of life does the thymus gland atrophy and turn into fat?
Adolescence
Which artery supplies the thymus gland?
Internal thoracic arteries
What is 1,2, and 3?
- Brachiocephalic trunk
- Left common carotid artery
- Left subclavian artery
What is 1,2 and 3?
- Brachiocephalic trunk
- Left common carotid artery
- Left subclavian artery
What are the 3 branches of the aortic arch?
- Brachiocephalic trunk
- Left common carotid artery
- Left subclavian artery
What does the brachiocephalic trunk branch into?
Right common carotid & Right Subclavian arteries
What are the 2 branches of the ascending aorta?
- Left coronary artery (LCA)
- Right coronary artery (RCA)
What are the 3 branches of the descending aorta?
- Posterior intercostal
- Bronchial arteries
- Lumbar arteries
Complete the diagram
What percentage of people have normal branches of the aorta? (no anatomical variation)
65%
Label the diagram
- Superior vena cava
- Left brachiocephalic vein
- Right brachiocephalic vein
- Internal jugular vein
- Subclavian vein
What is this structure?
Ligamentum Arteriosum