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The mediastinum (from Medieval Latin: mediastinus, lit. 'midway'; [2] pl.: mediastina) is the central compartment of the thoracic cavity.Surrounded by loose connective tissue, it is a region that contains vital organs and structures within the thorax, namely the heart and its vessels, the esophagus, the trachea, the vagus, phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph ...
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The mediastinum comprises those organs which lie in the centre of the chest between the lungs. The cavity also contains two openings one at the top, the superior thoracic aperture also called the thoracic inlet , and a lower inferior thoracic aperture which is much larger than the inlet.
Superior mediastinum. The thoracic ducts ascends into the superior mediastinum, reaching 2-3cm superior to the clavicle, [3] as high up as the C7 vertebral level. [5] In the superior mediastinum, the thoracic duct is situated posterior to and to the left of the esophagus. It is situated between the visceral and alar fascia. [5]
The brachiocephalic artery, brachiocephalic trunk, or innominate artery is an artery of the mediastinum that supplies blood to the right arm, head, and neck. [1] [2] It is the first branch of the aortic arch. [3] Soon after it emerges, the brachiocephalic artery divides into the right common carotid artery and the right subclavian artery. [4]
The mediastinum testis is a thick yet incomplete septum at the posterior part of the testis formed by the tunica albuginea of testis projecting into the testis at its posterior aspect where the testis is not lined by the serous membrane to allow for the attachment of the epididymis.
It is located within the posterior mediastinal cavity, but frequently bulges into the left pleural cavity. The descending thoracic aorta begins at the lower border of the fourth thoracic vertebra and ends in front of the lower border of the twelfth thoracic vertebra, at the aortic hiatus in the diaphragm where it becomes the abdominal aorta.
The mediastinal pleura is the portion covering the lateral surfaces of the mediastinum, predominantly the fibrous pericardium, the thoracic aorta, the first part of the subclavian artery, the superior vena cava/azygos vein, the esophagus and (very rarely) an enlarged thymus.