Atlas of Human Anatomy in Cross Section: Section 3. Middle Thorax (Heart and Lungs)
Ronald A. Bergman, Ph.D., Adel K. Afifi, M.D., Jean J. Jew, M.D., and Paul
C. Reimann, B.S.
Peer Review Status: Externally Peer Reviewed
Upper Left Quadrant |
Lower Left Quadrant |
Lower Right Quadrant |
Upper Right Quadrant |
1. Ascending aorta |
15. Rib 5 |
36. Thoracic spine, T6 |
49. Intercostal a. |
This section passes through the seventh thoracic vertebra (38) at the superior edge of the superior and transverse costal pits; elements of the costar articulation (31, 32) are seen. The section cuts ribs 7 (29, 32), 6 (20), 5 (15), 4 (52), and 3 (59).
On the left side, the right ventricular myocardium (58), pulmonary trunk and semilunar (atrioventricular) valve segments (57), left coronary artery (56), pericardiacophrenic artery and phrenic nerve (54), left atrial appendage (53), and left pulmonary artery (50) are seen. An intercostal artery (49) and vein (43) are identified. The external intercostal (42), longissimus (41), and trapezius (40) muscles are also identified. 'The left bronchus (48), left upper (51, 55) and lower (46) lobes, and bronchopulmonary segments are identified. The sternum (62), scapula (45), thoracolumbar fascia, posterior layer (44), and the anterior longitudinal ligament (39) are seen.
In the middle mediastinum, the ascending aorta (1), superior vena cave (6), esophagus (28), descending thoracic aorta (39), the thoracic duct (34), and the azygos vein (30) are found. The transverse pericardial sinus (4) and the pericardial (3) and pleural cavities are seen. Mediastinal Iymph nodes are seen (13).
On the right side, the superior vena cave (6) and pulmonary artery (11) and vein (10) are identified. The oblique fissure (12) of the right lung separates the upper (7, 10) and middle lobes from the lower lobe (26). The following right lung bronchopulmonary segments may be identified: the right upper lobe anterior (7) and posterior (10) and the right lower lobe superior (26).
The radiate ligament of the costovertebral articulation (32), the costotransverse ligament of the costotransverse articulation (31), anterior longitudinal ligament (39), and ligamentum flavum (35) are all important connective tissue structures associated with the vertebral column or ribs.
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