Chest
Chest
Chest
CAVITY
BY DR SYEDA RAHIMA BOKHARI
OBJECTIVES
• We will discuss about anatomy of:
• Thoracic wall
• Mediastenum
CHEST CAVITY
• The chest cavity is bounded by the chest wall on each side and below
by the diaphragm.
• It extends upward into the root of the neck about one fingerbreadth
above the clavicle on each side
• The chest cavity can be divided into a median partition, called the
mediastinum, and the laterally placed pleurae and lungs
STRUCTURE OF THORACIC WALL
STRENUM
RIBS
COSTAL CARTILAGES
MUSCLES OF THORACIC WALL
MUSCLES OF THORACIC WALL
ARTERIAL BLOOD SUPPLY TO THORACIC WALL
ARTERIAL BLOOD SUPPLY TO THORACIC WALL
VENOUS DRAINAGE OF THORACIC WALL
NERVES OF THORACIC WALL
SUPRAPLEURAL MEMBRANE
ENDOTHORACIC FASCIA
MEDIASTINUM
• The mediastinum is a partition between the two pleural cavities and
two lungs.
• It extends:
Superiorly to the thoracic outlet and the root of the neck
Inferiorly to the diaphragm.
Anteriorly to the sternum
Posteriorly to the vertebral column
Superior Mediastinum
Content
• Muscles: • Thoracic Duct
Sternohyoid
• Lymph Nodes
Sternothyroid Brachiocephalic,
Longus colli Tracheobronchial
• Thymus: (in childhood & Cardiac & puberty)
• Veins:
SVC
Lt & Rt brachiocephalic veins
Lt Sup Intercostal Veins
Cont…
• Arteries:
Arch of Aorta
Brachiocepalic artery
Lt Common carotid
Lt subclavian artery
• Trachea & Esophagus
• Nerves:
Vagus
Phrenic
Lt recurrent laryngeal nerve (b/w trachea & oesophagus)
Anterior Mediastinum
Boundaries
• Ant: Body of sternum
• Post: Pericardium
• Sides: Mediastinal pleura
• Sup: Imaginary plane
• Inf: Diaphragm
Contents
• Thymus (in children)
• Sternopericardial lig.
• Internal thoracic artery & branches
• Lymphatics & Lymph nodes
Middle Mediastinum
Contents:
• Heart enclosed in pericardium
• Arteries: Ascending Aorta,
• Pulmonary trunk with its Lt & Rt branches
• Veins: SVC, Termination of Azygos, Pulmonary veins
• Nerves: Phrenic, Deep cardiac plexus
• Bifurcation of Trachea with two principal bronchi
• Tracheobronchial lymph nodes
Posterior Mediastinum
• Boundaries:
• Ant. Pericardium, Bifurcation of trachea
• Post. T5 to T12
• sup. Transverse thor plane
• Inf. diaphragm
• Sides: Mediastinal pleura
Posterior Mediastinum
Contents:
• Oesophagus
• Arteries
Descending Aorta with its brs
• Veins
Azygos
Hemizygos
Accessory hemizygos
• Nerves:
Vagus
Splanchnic nerves
• Thoracic duct
• Lymph nodes
• Posterior mediastinal