Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

5.10.09-Anatomy of Mediastinum

Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
You are on page 1of 23

Anatomy of Mediastinum

Muh.Iqbal Basri
Department of Anatomy

SDU. LIZHENHUA
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.

SDU. LIZHENHUA
Subdivisions of mediastinum

Superior mediastinum
Inferior mediastinum
Anterior mediastinum
Middle mediastinum
Posterior mediastinum

SDU. LIZHENHUA
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

Esophagus Greater splanchnic n

SDU. LIZHENHUA
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

Inferior vena cava

SDU. LIZHENHUA
Superior mediastinum

SDU. LIZHENHUA
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.

Superior vena cava

SDU. LIZHENHUA
Superior mediastinum
Contents
Middle layer
Aotic arch and its three
branches
Phrenic n.
Vagus n.

SDU. LIZHENHUA
Superior mediastinum

Contents
Posterior layer
Trachea
Esophagus
Thoracic duct

SDU. LIZHENHUA
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

SDU. LIZHENHUA
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

SDU. LIZHENHUA
Triangle of ductus arteriosus

Boundaries
Phrenic n.
Left vagus n.
Left pulmonary a.
Contents
Arterial ligament
Left recurrent n.
Superficial cardiac plexuses

SDU. LIZHENHUA
Triangle of ductus arteriosus

SDU. LIZHENHUA
Inferior mediastinum

SDU. LIZHENHUA
Inferior mediastinum
Anterior mediastinum
Location posterior to body of
sternum and attached costal cartilages,
anterior to heart and pericardium
Contents
Fat

Remnants of thymus gland

Anterior mediastinal lymph nodes

SDU. LIZHENHUA
Inferior mediastinum
Middle mediastinum
Location between anterior
mediastinum and posterior
mediastinum
Contents
Heart and pericardium

Beginning or termination of great

vessels
Phrenic nerves

Pericardiacophrenic vessels

Lymph nodes

SDU. LIZHENHUA
Inferior mediastinum
Posterior mediastinum
Location posterior to heart and
pericardium, anterior to vertebrae
T5 T12

SDU. LIZHENHUA
Inferior mediastinum
Posterior mediastinum
Contents:
Esophagus
Vagus n.
Thoracic aorta
Azygos system of veins
Thoracic duct
Thoracic sympathetic trunk
Posterior mediastinal lymph nodes

SDU. LIZHENHUA
Relations of esophagus
Anteriorly
Trachea
Bifurcation of trachea
Left principal branchus
Left recurrent n.
Right pulmonary a.
Anterior esophageal plexus
Pericardium
Left atrium
Diaphragm

SDU. LIZHENHUA
Relations of esophagus

Posteriorly
Posterior esophageal plexus
Thoracic aorta
Thoracic duct
Azygos v.
Hemiazygos v.
Accessory hemiazygos v.
Right posterior intercostal v.

SDU. LIZHENHUA
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.

SDU. LIZHENHUA
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

SDU. LIZHENHUA
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

SDU. LIZHENHUA

You might also like