THORAX

Intel of thoran
SM I
angugmi.m.fi cssuiffgifufmaewimme.am

AM
Body MM
pm 1
Remnant
of

M
xiphoid scalenus minimus

1
Diaphragm

C Ct J

h H

stab

y manubrium
 Columediaslinal

Ghrib recep

Cotto 8hrib
diaphragmatic
recess
dependent
i pleural tap
Middaricular Midanillaey Paraverfebral
line dine line
6th 8th cold
lung
8th 10th What
parietal pleura
I
pleuent
tap
Sternal angle Angle of
tourist

1
Origin 4 termination of arch of aorta

4 Bifurcation of trachea cadaveric level

In at levelof a
living
31 Division trunk
of pulmonary
4 Azygous vein drains into Svc

D ligamentum arteriosum level

G Cardiac plexus

A thoracic duct deviates to

left side
81 Junction inferior mediastinum
of superior

g 2nd coital cartilage attachment

1 Agen of fibrous pericardium

 Diaphragm

Septum transucetum central tendon

Cervical myotome Muscular
part
i
Body wall mesoderm
Dorsal mesentery Cms
of of diaphragm
esophagus
membrane
Pleuroperitonial mighty

Plain m Neural

Fife
Neuro
Tania
µ µm
to close healing membrane

fails

Congenital
Diaphragmatic Hernia

I R
posterolateral anterior
851
Bochdable Morgagni
Body wall
mesoderm donatmesinky
I
pleuroperitoneal
membrane

Seplumtransvenum
Gross ANATOMY

Foramen Morgagni spaceoflarry

of
vessels
yo yo superior epigastric

Yuman

Medial arcuate µ mg gasial

h m

pp to
T camel
lateralararete ligament
Go
Quadratus lumhorm
to farcia
Sympathetic
chain
Major openings
V 0 A
78 To Tn

Venacanal opening 7 IVC

in central phrenic nerve

tendon c

Oesophageal opening Oesophagus

in muscular
part Vagus name
Oesophageal branch
of
gastric artery

Aortic Aorta
opening
bw cons diaphragm Thoracic duct
of
Azygous vein
Kometimes hemiarygous vein
also
 AN thoracic duct
Aygous

splanmagnic

spmlaughni

Hemiazygous vein

ones
of diaphragm is supplied by both

phrenic nerves
Intercostal spaces
Intercostal muscles

i Internal intercostal muscle E

ii Internal intercostal muscle I
Iii Innermost intercostal muscle In
3 Subcostalis

part s Intercoitalis intimi

Sternocostalik

aka Transverse thoracid

Er In

Intercostal none
block Encept 1st Ics

done along lowerborder

A
of upper n'b Pleural tip
v

donealongthe upper border

rib
of lower
 Posterior

E I
Subcostal's

Pleural tap
in midanillalyline Intercostals intimi
I Sternocostalis
I
Y skin
fascia Anterior
4 Superficial

4 Deep fascia
of Serratus anterior
f Ent Intercostal muscle
b Int Intercostal muscle
H Intercostal's intimi
8 Endothoracic fascia
g Parietal pleura
Intercostal Nerve

T Brachial pleaus
T s Intercostobrachial nerve

T3
Tu Typical IIc nerves 473
75
76

Tz
Tg
Tg
To Thoracoabdominal nerves
T
The Subcostal nerve
 Ramus communicans
Get out
Grey ramus communicans Gp
white ramus communicans WRC
welcome

Poet
ganglionic
sympathetic
fibres

Autonomicganglion
a
gangling

WRC preganglionic sympathetic outflow

G lol
myelinated non myelinated

GRC post ganglionic lympathetic fibres

unmyelinated
 f Hj gY sympatheticasupply

While ramus communions C

is absent dy
i
t
I woke 11 are
 Tt
g
Ym Ti N
P Ta
A
Te
E Crusof
T
I
Tg qeaµ splanchnic
mene diaphragm
c To
u
CH t
lesser splanchnic Coeliac
E tu nom
ganglion
I least splanchnic Aorticorenal
nerve ganglion
Renal nerve

either cries or

medial arcuate ligament

1
Renal
ganglion
Intercostal arteries

aetIf
Ant
Internalthoracic
Post
Ikastery
artery
A 1 s
O T
R E
y r
A N
Ant U
Collateral
IIc
branch Marky

Note
1st 2nd ICS supplied costocervical trunk
by
t
branch from 2nd
part of subclavian ashy
 Int thoracic artery
Siae medium sized artery

histologically elastic army

0 O 1stpartof subclavian
h
Ant If F
arteries 2
e
6th space

6th Ics
i

Musculophrenic
artery nfyoenir epigastric

t arky
o foramen
gives ant Ikaderies of morgagni
u
in 7th to 8h Ics Rectus sheath

Branches 4 Superior epigastric artery

4 Mukulophrenic artery
3 Ant IIc arteries
at Mediastinal branches Remains
ofthymus
Pericardiophrenic arkly
runs phrenic nerve
a 4 supplies fibrous pericardium
mediastinal pleura diaphragm
6 In q Internal mammary artery
perforating mammary branches
gives off
ir 2nd to 4th Ies
 Azygous tumiarygous vein

brachincephalic Brachiocephalic
lstpost vein vein itpost
Ik vein s
f c Ikvein

superior
Ik vein
X s T 74 up
Ik vein
Svc

A hemiazygous sp
5 iz Azygous
vein s
teemiarygous 9 12

u v
Formative tributaries Formative tributaries

lumbar ascending vein 1 lumbar ascending vein

lumbar azygous vein 2 lumbar azygous vein
subcostal vein 3 subcostal vein

Noee bronchial vein last tributary of azygous

vein
Phrenic Nerve Cs ics

mined nerve
only motor nerve to diaphragm

Scalenus anterior

8 7 Khania

phrenic phrenic nerve

mm

Diaphragm
l
A
J Diaphragmatic
peritoneum

supply
Diaphragm motor
Mediastinal
gleam
Diaphragmatic pleura Sensory
Fibrous
pericardium
Diaphragmatic peritoneum
 Thoracic duct largest lymphatic duct

formation Cisterna aka lymphatic heart

chylli
location L Lz vertebrae

Antalation oesophagus Esv

Ct J a subclavianvein

µmy
I period at 14 skating
Il
Eggini

Ama fo Ace henriazygous vein

Iaf
y

H ammonium
C Aortic opening Tu

f Cisterna chylli

drains junction of Isu subclavianrein

Lymphatic
du't
J
T
thoracic duct

Tributaries

RO d lumbarhunk
Intercostal LN
µ µ
bronchgenqudiastinal
 OESOPHAUDS

Cervical past 4cm

25cm long Thoracic 20cm
gait
Abdominalpast 1 Lem

Entent lower border of cricoid cartilage 6

Diaphragmatic opening To

constrictions from upper

incisors

i
Pharyngoesophageal
c Ecm
junction

Arch of aorta Vii of Ta 22 5cm

iiil Left principal

Too 2775cm

bronchus

it oesophageal Tio 40dm

2
hiatus 1
 Arterialsupply Venous drainage Lymphatic drainag

Cervical Inf thyroid Inf thyroid Deepcervical LN

out vein
Thoracic Thoracic aorta Pott mediastinal
Azygous
Bronchial artery Henriarygous

Abdominal LGA LGV

leftgastric LN