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TOPOGRAPHICAL ANATOMY OF THE THORAX
Václav Báča, David KachlíkTereza Smržová, Martin Holek, Katarina
Hubčíkova, Radek Jakša
Department of
Anatomy 3rd Faculty
of
Medicine, Charles University in Prague
supported by grant FRVS 1101/2008/F3
MEDIASTINUM SUPERIUSMEDIASTINUM SUPERIUSBORDERS:
CRANIAL:apertura thoracis
sup. (Th1, first
rbs, upper
border
of
sternum)
VENTRAL:manubrium
sterni, ribs
+ muscles
DORSAL:spine, ribs
+ muscles
VENTRAL:pleura
mediastinalis
CAUDAL:theoretical
level
between
angulus
sterni
and
intervertebral
disc
of
Th4-5
CONTENT:Structures in 5 layers mentioned
deepwards:
1. thymus, insertions
of
mm. sternothyroideus
and
sternohyoideus, vasa
thoracica
int. + their
branches
2. layer of veins: vv. brachiocephalicae
(plexusthyroideus
impar, v. intercostalis
sup. sin.) connect
to form
v. cava
sup., ductus
thoracicus,nn. phrenici
3. layer of arteries: arcus
aortae
+ its
branches
4. organs: trachea + its
bifurcation
(at
the
levelof
Th4 vertebral
body), bronchi
principales, esophageus
+ nn. vagi, rr. cardiaci, n. laryngeusreccurens
sin., nodi
lymphoidei
tracheobronchiales, nodi
lymphoidei
paratracheales, membrana
bronchopericardiaca
5. truncus
sympathicus
dx. et
sin, nn. cardiaci, nodi
lymphoidei
juxtaesophageales, m.longus
colli
MEDIASTINUM INFERIUSMEDIASTINUM INFERIUS
Mediastinum anterius
Mediastinum medium
Mediastinum posterius
MEDIASTINUM ANTERIUSMEDIASTINUM ANTERIUSBORDERS:CRANIAL:theoretical
level
between
angulus
sterni
and
intervertebral
disc
of Th4-5
VENTRAL:corpus sterni, ribs
+muscles
DORSAL:pericardium
CAUDAL:diaphragma
CONTENT:
ligg. sternopericardiaca
nodi
lymphoidei
parasternales,prepericardiaci
vasa
thoracica
int. + their
branches
musculus
transversus
thoracis
MEDIASTINUM MEDIUMMEDIASTINUM MEDIUMBORDERS:CRANIAL:theoretical
level
between
angulus
sterni
and
intervertebral
disc
ofTh4-5
VENTRAL:pericardium
DORSAL:pericardium
CAUDAL:diaphragma
CONTENT:heart
in the
pericard
aorta ascendenstruncus
pulmonalis
vena
cava
sup. (+ estuary
of
v.azygos)v. cava
inf.
nervi phrenicivasa
percardiacophrenica
plexus
cardiacus
venae
pulmonalesnodi
lymphoidei
pericardiaci
laterales
MEDIASTINUM POSTERIUSMEDIASTINUM POSTERIUSBORDERS:CRANIAL:theoretical
level
between
angulus
sterni
and
intervertebral
disc
ofTh4-5
VENTRAL:pericardium
DORSAL:spine, ribs
+ muscles
CAUDAL:diaphragma
CONTENT:
oesophagus
+
plexus
esophageus
truncus
sympathicus
+ nn. splanchnici
(major, minor, imus)
nodi
lymphoidei
prevertebrales, juxtaesophageales
ductus
thoracicus
v. azygos, hemiazygos
ethemiazygos
accessoria
(+ its
tributaries)
aorta thoracica
+ its
branches
RECESSUS PLEURALESRECESSUS PLEURALESrecessus
costodiaphragmaticus
(the
most caudal
place
of
pleural
cavity)
recessus
costomediastinalis
recessus
phrenicomediastinalis
recessus
vertebromediastinalis
DIAPHRAGMADIAPHRAGMABORDERS:PARS LUMBALIS (crus
sin.,dx.)
hiatus
aorticus
(between
cruradiaphragmatis, bordered
by lig. Arcuatummedianum)
hiatus
oesophageus
(in cruradiaphragmatis)
foramen
v. cavae
inferioris( in centrumtendineum)
PARS COSTALIS, PARS STERNALIS
trigonum
strenocostale, lumbocostal
CONTENT:
pars
lumbalis
(crus
sin.,dx.)
hiatus
aorticus
(between
cruradiaphragmatis, bordered
by lig.arcuatum
medianum)
hiatus
oesophageus
(in cruradiaphragmatis)
foramen
v. cavae
inferioris( in centrumtendineum)
pars
costalis, pars
sternalis
trigonum
strenocostale, lumbocostal
SPATIUM INTERCOSTALESPATIUM INTERCOSTALE
BORDERS:
between
two
neighbouring
ribs
CONTENT:
mm. intercostales
ext
(+ membranaintercostalis
ext.)
mm. intercostales
int.(+ membranaintercostalis
int.)
vena
+ arteria
intercostalis
ant. et
post. + n. intercostalis
ramus
collateralis
a. intercostalis
post. + r. collateralis
n. intercostalis
mm. intercostales
intimi
mm. subcostales