6
Sternal angle Lower border of T4 tinum: e partition between the two pleural cavities and lungs. It includes a large number of s bdivided into: uperior mediastinum nferior mediustinum : anterior, middle and posterior ediastinum: s Aorta ches of Aortic arch ephalic ( innominate) veins lf os superior vena cava nerves ves diastinum: ium y trunk g Aorta lf of SVC rt of IVC ion of trachea mediastinum: s ng thoracic Aorta nd hemiazygos veins angle

56 mediastinum

Embed Size (px)

Citation preview

Page 1: 56 mediastinum

Sternal angle

Lower border of T4

Mediastinum:It is the partition between the two pleural cavities and lungs. It includes a large number of structuresIt is subdivided into: -Superior mediastinum -Inferior mediustinum : anterior, middle and posterior

Superior mediastinum:EsophagusTracheaArch of AortaBig branches of Aortic archBrachiocephalic ( innominate) veinsUpper half os superior vena cavaPhrenic nervesVagi nerves

Middle mediastinum:PericardiumHeartPulmonary trunkAscending AortaLower half of SVCUpper part of IVCBifurcation of trachea

Posterior mediastinum:EsophagusDescending thoracic AortaAzygos and hemiazygos veinsvagi

�ِ

angle

Page 2: 56 mediastinum

Esophagus:-Length -begins-Ends-Site and relations- Blood supply

Trachea:-Length -begins-Ends-Site of trachea and bifurcation)-Relation-Main bronchi . length . width . orientation . divisions

Esophagus

Trachea

Rt VagusLt Vagus

Page 3: 56 mediastinum

Aorta:1- Ascending Aorta:Origin, end, branches2- Arch of aorta:Origin, end, branches3- descending thoracic Aorta:Origin, end, branches

Paired SinglePost intercostals pericardialSubcostal mediastinalPhrenic esophagealBroncheal

Brachicephalic artery

Lt common carotid artery

Lt subclavian artery

Page 4: 56 mediastinum

Superior vena cava :-Begin by union of….. At level of….right 1st costal cartilage -length-end at right 3rd costal cartilage by joining the heart-Tributaries: vena azygos at right 2nd costal cartilage

Brachiocephalic veins:Comparison between right and left veins:-Begin by union of….. -length-end at …. by forming…..-Tributaries: one of them is internal thoracic vein

Azygos and hemiazygos veins:-Begin at the abdomen. -end at……-Tributaries:1- Posterior intercostal2- Bronchial 3- Pericardial4- Esophageal 5- Mediastinal

Rt Brachiocephalic. Lt Brachiocephalic

Lt Internal jugular

Lt subclavian

Lt Internal jugular

Lt subclavian

Lt subclavian

SVC

Vena azygos

Phrenic nerve

Page 5: 56 mediastinum

Pulmonary Trunk:-Origin-Divisions-Relations

Inferior vena cava:-Origin- End

Page 6: 56 mediastinum

Mediastinum:It is the partition between the two pleural cavities and lungs. It includes a large number of structuresIt is subdivided into: -Superior mediastinum -Inferior mediustinum : anterior, middle and posterior

Superior mediastinum:EsophagusTracheaArch of AortaBig branches of Aortic archBrachiocephalic veinsUpper half of superior vena cavaPhrenic nervesVagi nerves

Middle mediastinum:PericardiumHeartPulmonary trunkAscending AortaLower half of SVCUpper part of IVCBifurcation of trachea

Posterior mediastinum:EsophagusDescending thoracic AortaAzygos and hemiazygos veinsvagi

�ِ

Lower border of T4

Sternal angle

Esophagus

Descending Thoracic

Aorta