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Unit 4 Pectoral Region, Thoracic Wall and Cavity
for anatomy unit 4
37
Anatomy
Graduate
10/09/2011

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Term
Pleural Cavity
Definition
Serous cavity separated by the visceral and parietal pleura
Term
Parietal pleura consists of:
Definition
Costal, diaphragmatic, cervical, mediastinal portions
Term
Costomediastinal Reflection
Definition
Junction of costal and mediastinal portions
-Contains the costomediastinal recess
Term
Costodiaphragmatic reflection
Definition
Junction of the costal and diaphragmatic portions.
CONTAINS the costodiaphragmatic recess, which the lung does NOT extend into during quiet breathing
Term
Anterior Costomediastinal Reflections
Definition
approach each other anteriorly behind rib 2
Term
Left Reflection of Parietal Pleura
Definition
diverges laterally at rib 4 (cardiac notch)
Term
Reflections of the Two Parietal Pleura
Definition
Both Reflections diverge laterally at rib 6 and become the costodiaphragmatic reflections
Cross rib 8 at the mid-clavicular line
Rib 10 at the mid-axillary line
Rib 12 cross the neck
Term
Parietal and Visceral Pleura are continuous at:
Definition
the root of the lung and pulmonary ligament
Term
Parietal Pleura is Innervated by:
Definition
the Intercostal Nerves and Phrenic Nerves
Term
Mediastinum
Definition
extends from the superior thoracic aperture above to the diaphragm below, from the sternum in front to the vertebral column posteriorly and between the mediastinal pleura of the two sides
Term
Superior and Inferior Mediastinum
Definition
A horizontal plane extending through the sternal angle anteriorly and the disk between TV4 and TV5 divides the mediastinum into the superior and inferior mediastinum
Term
Inferior Mediastinum
Definition
Anterior
Middle- contains heart and pericardial sac
Posterior
Term
Thymus
Definition
Most anterior structure
Largely replaced by fat but it still retains its bilobed shape
Blood supply: the pericardiacophrenic vessels
Term
Brachiocephalic Veins
Definition
Formed by the confluence of the subclavian and internal jugular veins at the root of the neck
Term
Superior Vena Cava
Definition
Continues the vertical course of the right brachiocephalic vein
Just before it enters the pericardial sac, it receives the azygos vein
Term
Aortic Arch Orientation
Definition
Starts anterior and arches backward over the left primary bronchus
Term
Ligamentum Arteriosus
Definition
connects the inferior surface of the aortic arch to the left pulmonary artery.
Term
Brachiocephalic Trunk divides into what two arteries?
Location?
Definition
the first branch of the arch.
Ascends in front of the trachea to its right side.
Ends by dividing into the right subclavian and right common carotid artery.
Term
Left Common Carotid
Definition
Arise independently from the arch and runs more or less vertically along the left side of the trachea.
Term
Location of Trachea
Definition
behind the great vessels and immediately anterior to the esophagus
Term
Esophagus
Definition
most posterior structure
Term
Thoracic Duct Location and Pathway
Definition
Lies on the left side of the esophagus and vertebral column.
Arches over subclavian artery from behind to reach the left subclavian vein at its junction with the internal jugular vein.
Term
Phrenic nerves pathway and location
Definition
Pass anterior to both subclavian arteries and root of the lung, then between the pericardium and mediastinal pleura to reach the diaphragm.
Term
Right Phrenic Nerve pathway
Definition
Runs on the lateral side of the great veins (brachiocephalic, superior and inferior vena cavae)
Term
Left Phrenic Nerve Location and Pathway
Definition
Runs antero-lateral to the left common carotid artery and aortic arch
Term
Vagus Nerve pathway
Definition
Run anterior to subclavian arteries and posterior to root of lung.
Splits off into right and left vagus nerves
Term
Right Vagus Nerve
Definition
Is lateral to the trachea.
Branches off to the right recurrent laryngeal nerve which passes under the right subclavian artery and then ascends to the larynx
Term
Left Vagus Nerve
Definition
Runs between the left common carotid artery and subclavian artery and lateral to the aortic arch.
Branches off to the left recurrent laryngeal nerve which passes UNDER the aortic arch immediately to the left of the ligamentum arteriosus to ascend in the groove between trachea and esophagus.
Term
Cardiac Nerves
Definition
Descend from the cervical sympathetic trunk and vagus nerve to reach the cardiac plexuses around aortic arch
Term
Anterior Mediastinum contains
Definition
some fat and CT, lowest extension of thymus and some lymph nodes
Term
Middle Mediastinum contains
Definition
the pericardial sac and heart
Term
Parietal Pericardium consists of
Definition
fibrous (stout external layer) and serous layer. Parietal serous pericardium makes up the inner layer of pericardial sac.
Visceral serous pericardium covers the heart itself
Term
Pericardium fuses to
Definition
the diaphragm
Term
Parietal pericardium is continuous with
Definition
the visceral pericardium or epicardium where it attaches to the great arteries and veins
Term
Pericardial cavity is between
Definition
the visceral and parietal layers of pericardium
Term
Transverse Pericardial Sinus
Definition
space posterior to ascending aorta and pulmonary trunk and anterior to the superior vena cava
Term
Oblique Pericardial Sinus
Definition
blind recess on posterior aspect of heart caused by pericardial reflections off the pulmonary veins and inferior vena cava.
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