MEDIASTINUM
The mediastinum is space in the thoracic cavity located between the pleural cavities laterally, the diaphragm caudally and the superior thoracic aperture cranially. Anatomically, it is divided into a superior and inferior division by a transverse plane at the level of vertebra T4. The inferior mediastinum is then further divided into the anterior, middle and posterior inferior mediastinum by the pericardial sac. Clinically, the mediastinum is divided by the bronchopericardial membrane into the anterior and posterior division.
Anatomical division
- 1 Superior mediastinum (mediastinum superius)
- bound cranially by the superior thoracic aperture, caudally by a transverse plane passing through vertebra T4, ventrally by the manubrium and dorsally by the vertebral column
- 2 Inferior mediastinum (mediastinum inferius)
- bound cranially by a transverse plane at the level of vertebra T4 and caudally by the diaphragm
- the inferior mediastinum is further divided by the pericardium into three subdivisions:
- 2.1 Anterior inferior mediastinum (mediastinum inferius anterius)
- between the body of the sternum and the pericardium
- 2.2 Middle inferior mediastinum (mediastinum inferius medium)
- bound by the pericardium and contains the heart
- 2.3 Posterior inferior mediastinum (mediastinum inferius posterius)
- located between the dorsal aspect of the pericardium and the vertebral column