5.10.09-Anatomy of Mediastinum
5.10.09-Anatomy of Mediastinum
5.10.09-Anatomy of Mediastinum
Muh.Iqbal Basri
Department of Anatomy
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The Mediastinum
Concept
All of organs between the left and
right mediastinal pleurae is called
mediastinum.
It extends from the sternum in
front to the vertebral column
behind, and from the thoracic inlet
above to the diaphragm below.
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Subdivisions of mediastinum
Superior mediastinum
Inferior mediastinum
Anterior mediastinum
Middle mediastinum
Posterior mediastinum
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Left side of mediastnum
Left subclavian a.
Thoracic duct
Left vagus n. Aortic arch
Left recurrent n.
Phrenic n. & Thoracic aorta
pericardiacophrenic a.
Sympathetic trunk
Root of lung
Pericardium
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Right side of mediastnum
Trachea
Right vagus n. Superior vena cava
Arch of azygos v. Phrenic n. &
pericardiacophrenic
Azygos v.
a.
Root of lung
Sympathetic trunk
Esophagus Pericardium
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Superior mediastinum
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Superior mediastinum
Locating from inlet of thorax to
plane extending from level of sternal
angle anteriorly to lower border of
T4 vertebra posterioly
Contents
Superficial layer
Thymus
Three veins
Left brachiocephelic v.
Right brachiocephelic v.
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Superior mediastinum
Contents
Middle layer
Aotic arch and its three
branches
Phrenic n.
Vagus n.
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Superior mediastinum
Contents
Posterior layer
Trachea
Esophagus
Thoracic duct
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Relations of aortic arch
Anteriorly and to the left
Pleura
Lung
Phrenic n.
Pericardiacophrenic vessels
Vagus n.
Posteriorly and to the right
Trachea
Esophagus
Left recurrent n.
Thoracic duct
Deep cardiac plexus
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Relations of aortic arch
Superiorly
Its three branches
Left brachiocephalic v.
thymus
Inferiorly
Pulmonary a.
Arterial ligament
Left recurrent n.
Left principal bronchus
Superficial cardiac plexus
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Triangle of ductus arteriosus
Boundaries
Phrenic n.
Left vagus n.
Left pulmonary a.
Contents
Arterial ligament
Left recurrent n.
Superficial cardiac plexuses
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Triangle of ductus arteriosus
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Inferior mediastinum
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Inferior mediastinum
Anterior mediastinum
Location posterior to body of
sternum and attached costal cartilages,
anterior to heart and pericardium
Contents
Fat
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Inferior mediastinum
Middle mediastinum
Location between anterior
mediastinum and posterior
mediastinum
Contents
Heart and pericardium
vessels
Phrenic nerves
Pericardiacophrenic vessels
Lymph nodes
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Inferior mediastinum
Posterior mediastinum
Location posterior to heart and
pericardium, anterior to vertebrae
T5 T12
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Inferior mediastinum
Posterior mediastinum
Contents:
Esophagus
Vagus n.
Thoracic aorta
Azygos system of veins
Thoracic duct
Thoracic sympathetic trunk
Posterior mediastinal lymph nodes
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Relations of esophagus
Anteriorly
Trachea
Bifurcation of trachea
Left principal branchus
Left recurrent n.
Right pulmonary a.
Anterior esophageal plexus
Pericardium
Left atrium
Diaphragm
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Relations of esophagus
Posteriorly
Posterior esophageal plexus
Thoracic aorta
Thoracic duct
Azygos v.
Hemiazygos v.
Accessory hemiazygos v.
Right posterior intercostal v.
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Relations of esophagus
Left
Left common carotid a.
Left subclavian a.
Aortic arch
Thoracic aorta
Superior part of thoracic duct
Right
Arch of azygos v.
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Relations of thoracic aorta
Anteriorly
Left root of lung
Pericardium
Esophagus
Posterior
Hemiazygos v.
Accessory hemiazygos v.
Right
Azygos v.
Thoracic duct
Left mediastinal pleura
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Mediastinal spaces
Retrosternal space lies beween
sternum and endothoracic fascia
Pretracheal space lies within
superior mediastinum, between
trachea, bifurcation of trachea and
aortic arch
Retroesophagus space lies within
superior mediastinum, beween
esophagus and endothoracic fascia
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