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The superior thoracic aperture, also known as the thoracic outlet, or thoracic inlet refers to the opening at the top of the thoracic cavity. [1] It is also clinically referred to as the thoracic outlet, in the case of thoracic outlet syndrome. A lower thoracic opening is the inferior thoracic aperture.
The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum .
Thoracic outlet syndrome (TOS) is a condition in which there is compression of the nerves, arteries, or veins in the superior thoracic aperture, the passageway from the lower neck to the armpit, also known as the thoracic outlet. [1] There are three main types: neurogenic, venous, and arterial. [1]
The anterior thoracic wall, the airways and the pulmonary vessels anterior to the root of the lung have been digitally removed in order to visualize the different levels of the pulmonary circulation. Image showing main pulmonary artery coursing ventrally to the aortic root and trachea .
The bony skeletal part of the thoracic wall is the rib cage, and the rest is made up of muscle, skin, and fasciae.. The chest wall has 10 layers, namely (from superficial to deep) skin (epidermis and dermis), superficial fascia, deep fascia and the invested extrinsic muscles (from the upper limbs), intrinsic muscles associated with the ribs (three layers of intercostal muscles), endothoracic ...
Thrombolysis is typically performed prior to first rib resection for venous thoracic outlet syndrome. First rib resection is indicated for venous , arterial , and neurogenic TOS. [ 1 ] In all cases, the goal of the operation is to increase the dynamic space between the chest wall and the clavicle , through which the subclavian vein, artery, and ...
Typically, there are two trunks - one on each side of the body. The right bronchomediastinal trunk may connect the right lymphatic duct, and the left trunk to the thoracic duct, [1] although more frequently, they open independently into the junction of the internal jugular vein and subclavian veins on their respective sides.
Diagram showing parts of the body that drain into the right lymphatic duct. The right duct drains lymph fluid from: the upper right section of the trunk, (right thoracic cavity, via the right bronchomediastinal trunk) [1] the right arm (via the right subclavian trunk) [1] and right side of the head and neck (via the right jugular trunk) [1]