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AAAC03  21/5/05  10:38 AM  Page 10
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                The mediastinum Icthe contents of the mediastinum






                     Superior mediastinum
                     Great vessels
                     Trachea
                     Oesophagus
                     Thymus, etc.                                                     Middle mediastinum
                                                                                      Heart and roots of great vessels
                     Anterior mediastinum
                                                                                      Pericardium
                     Thymus

                                                                                      Posterior mediastinum
                                                                                      Oesophagus
                                                                                      Descending thoracic aorta
                                                                                      Thoracic duct
                     Fig.3.1                                                          Azygos and hemiazygos veins
                     The subdivisions of the mediastinum                              Sympathetic trunk, etc.
                     and their principal contents


                                               Oesophagus
                                               Trachea
                  Right                                                                             Jugular lymph trunks
                  vagus                        Recurrent
                                               laryngeal nerve
                                                                                                    Right lymph duct
                                               Thoracic duct
                                                                                                    Thoracic duct
                                               Left vagus
                                                                                                    Subclavian lymph trunk
                  Azygos                                                                            Bronchomediastinal
                                               Anterior
                  vein                                                                              lymph trunk
                                               pulmonary
                                               plexus                                               Superior vena cava
                                                                                                    From chest wall (right)
                                               Oesophageal
                                               plexus                                               From chest wall (left)
                                                                                                    Diaphragm
                  Diaphragm                    Anterior                        L1
                                               vagal trunk                                          Cisterna chyli
                                                                              L2
                                               Oesophageal                                          From kidneys and
                                               opening (T10)                                        abdominal wall
                                                                                                    From abdominal
                                               Aortic opening
                                                                                                    viscera
                  Right                        (T12)
                  crus
                                                                                                    From lower limbs
                  Left crus
                  Fig.3.2
                  The course and principal relations of the oesophagus.  Fig.3.3
                  Note that it passes through the right crus of the  The thoracic duct and its areas of drainage.
                   diaphragm                                       The right lymph duct is also shown


                10 Thorax
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