Mediastinum: It is the partition between the two pleural cavities and lungs. It includes a large number of structures It is subdivided into: -Superior mediastinum -Inferior mediustinum : anterior, middle and posterior Superior mediastinum: Esophagus Trachea Arch of Aorta Big branches of Aortic arch Brachiocephalic ( innominate) veins Upper half os superior vena cava Phrenic nerves Vagi nerves Middle mediastinum: Pericardium Heart Pulmonary trunk Ascending Aorta Lower half of SVC Upper part of IVC Bifurcation of trachea Posterior mediastinum: Esophagus Descending thoracic Aorta Azygos and hemiazygos veins vagi Sternal angle angle Lower border of T4 Esophagus: -Length -begins -Ends -Site and relations - Blood supply Esophagus Trachea Rt Vagus Trachea: -Length -begins -Ends -Site of trachea and bifurcation) -Relation -Main bronchi . length . width . orientation . divisions Lt Vagus Lt common carotid artery Brachicephalic artery Aorta: 1- Ascending Aorta: Origin, end, branches 2- Arch of aorta: Origin, end, branches 3- descending thoracic Aorta: Origin, end, branches Paired Post intercostals Subcostal Phrenic Broncheal Single pericardial mediastinal esophageal Lt subclavian artery Brachiocephalic veins: Azygos and hemiazygos veins: Comparison between right and left veins: -Begin by union of….. -length -end at …. by forming….. -Tributaries: one of them is internal thoracic vein -Begin at the abdomen. -end at…… -Tributaries: 1- Posterior intercostal 2- Bronchial 3- Pericardial 4- Esophageal Superior vena cava : 5- Mediastinal -Begin by union of….. At level of….right 1st costal cartilage Lt Internal jugular -length Lt Internal jugular -end at right 3rd costal cartilage by joining the heart -Tributaries: vena azygos at right 2nd costal cartilage Lt Lt subclavian subclavian Lt subclavian Phrenic nerve Rt Brachiocephalic. SVC Vena azygos Lt Brachiocephalic Inferior vena cava: -Origin - End Pulmonary Trunk: -Origin -Divisions -Relations Mediastinum: It is the partition between the two pleural cavities and lungs. It includes a large number of structures It is subdivided into: -Superior mediastinum -Inferior mediustinum : anterior, middle and posterior Superior mediastinum: Esophagus Trachea Arch of Aorta Big branches of Aortic arch Brachiocephalic veins Upper half of superior vena cava Phrenic nerves Vagi nerves Middle mediastinum: Pericardium Heart Pulmonary trunk Ascending Aorta Lower half of SVC Upper part of IVC Bifurcation of trachea Posterior mediastinum: Esophagus Descending thoracic Aorta Azygos and hemiazygos veins vagi Sternal angle Lower border of T4 Esophagus Descending Thoracic Aorta