9.  Sup. Mediastinum
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Questions and Answers

Which structure is exclusively found in children within the superior mediastinum?

  • Vagus nerve
  • Brachiocephalic veins
  • Thymus (correct)
  • Esophagus
  • What is the role of the thymus in the immune system?

  • Activation of B-lymphocytes
  • Storage of white blood cells
  • Production of antibodies
  • Maturation of T-lymphocytes (correct)
  • Which of the following structures does NOT pass through the superior mediastinum?

  • Arch of aorta
  • Pulmonary arteries (correct)
  • Superior vena cava
  • Thoracic duct
  • Which of the following nerves is located in the superior mediastinum?

    <p>Phrenic nerve</p> Signup and view all the answers

    What marks the inferior boundary of the superior mediastinum?

    <p>Transverse Thoracic Plane</p> Signup and view all the answers

    Which statement accurately describes the Brachiocephalic veins?

    <p>Both veins unite at the inferior border of the first right costal cartilage to form the Superior Vena Cava.</p> Signup and view all the answers

    What does the Superior Vena Cava primarily return blood from?

    <p>All structures superior to the diaphragm except for the lungs and heart.</p> Signup and view all the answers

    Where does the Superior Vena Cava enter the heart?

    <p>At the level of the 3rd right costal cartilage into the right atrium.</p> Signup and view all the answers

    Which of the following arteries branches from the arch of the aorta?

    <p>Left Subclavian Artery.</p> Signup and view all the answers

    Which part of the aorta is located within the middle mediastinum?

    <p>Ascending aorta.</p> Signup and view all the answers

    Study Notes

    Superior Mediastinum

    • The region in the thoracic cavity superior to the transverse thoracic plane
    • Bounded by the superior thoracic aperture, manubrium sterni, upper thoracic vertebrae and the transverse thoracic plane
    • Contains vital structures including veins, arteries, nerves, trachea, esophagus, and the thymus (only in children)

    Veins

    • Brachiocephalic Veins (Right & Left): Formed by the union of the internal jugular and subclavian veins, located posterior to the sternoclavicular joints.
    • The left brachiocephalic vein is longer than the right and crosses the midline to the right side of the body
    • Superior Vena Cava (SVC): Returns blood from all structures above the diaphragm (except the lungs and heart), formed by the union of the two brachiocephalic veins
    • Located posterior to the inferior border of the 1st right costal cartilage, ending at the level of the 3rd right costal cartilage where it enters the right atrium of the heart
    • Situated anterior to the trachea in the superior mediastinum

    Arteries

    • Arch of the Aorta: Curved continuation of the ascending aorta into the superior mediastinum, loops over the root of the left lung
    • Starts posterior to the 2nd right costal cartilage, arches superior and posterior to the left
    • Reaches its apex on the left side of the trachea and esophagus
    • Terminates on the left side of the IV disc of T4/T5 vertebrae
    • Gives rise to three branches:
      • Brachiocephalic trunk: Largest and first branch of the aortic arch, arises between the trachea and the left brachiocephalic vein, ascends superolateral to the right side of the body, terminates posterior to the right sternoclavicular joint by dividing into the right common carotid and right subclavian arteries
      • Left Common Carotid Artery: Second branch of the aortic arch, arises posterior to the left brachiocephalic trunk, begins anterior to the trachea, then on its left side, enters the neck by passing posterior to the left sternoclavicular joint
      • Left Subclavian Artery: Third and most posterior branch of the arch, arises to the left of the trachea, leaves the chest posterior to the left sternoclavicular joint
      • Loops over the superior surface of the 1st rib, below the clavicle, and posterior to the scalenus anterior muscle to enter the upper limb
      • Becomes the axillary artery at the outer border of the 1st rib

    Thymus

    • The primary lymphoid organ responsible for T-lymphocyte maturation and immunocompetence
    • Undergoes involution after puberty, eventually being replaced by fat in adulthood

    Ligamentum Arteriosum

    • A remnant of the fetal ductus arteriosus, which shunted blood from pulmonary arteries to the aorta in the fetus
    • Obliterated within a few days of birth to become the ligamentum arteriosum
    • Connects the inferior surface of the aortic arch to the root of the left pulmonary artery

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    Description

    This quiz covers the anatomy of the superior mediastinum, including its boundaries and the vital structures it contains. Focus areas include the brachiocephalic veins and the superior vena cava, detailing their formations and anatomical relationships. Test your knowledge on the significant components found in this critical region of the thoracic cavity.

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