Lecture Notes - Thoracic Wall, Pleura, & Pericardium

The streaming video of the 2004-5 lab overview is available on the web (password protected).
The computer presentation used by Dr. Cortright in lecture is available on the web (password protected). You can also download the PowerPoint presentation to print or review.

  1. Bony thorax
    • Vertebral column
    • Ribs
      • Head
      • Neck
      • Tubercle
      • Angle
      • Costal groove
      • Costal cartilage
      • Costal arch (margin)
    • Sternum
      • Manubrium
      • Body
      • Xiphoid process
      • Sternal angle (of Louis)
      • Jugular (sternal, suprasternal notch)
  2. Intercostal space
    • Muscles
      • External intercostal
      • Internal intercostal
      • Innermost intercostal
    • Nerves
      • Ventral rami of spinal nn.
        • Lateral cutaneous branches
        • Anterior cutaneous branches
    • Vessels
      • Posterior intercostal aa. & vv.
        • (aorta & azygos venous system)
      • Anterior intercostal aa. & vv.
        • (internal thoracic aa. & vv.)
  3. Pleura (serous membrane)
    • Visceral
    • Parietal
      • Cervical (cupola)
      • Costal
      • Diaphragmatic
      • Mediastinal
    • Hilar reflection
    • Recesses
      • Costomediastinal
      • Costodiaphragmatic
    • Lines of pleural reflection (surface)
  4. Mediastinum (space between pleural sacs)
    • Middle (pericardium & heart)
    • Anterior (thymus)
    • Superior (thymus & great vessels)
    • Posterior
  5. Pericardium
    • Fibrous (NOT a serous membrane)
    • Serous
      • Visceral (= epicardium)
      • Parietal (fused to fibrous)
    • Pericardial sinuses
      • Transverse
      • Oblique
  6. Vessels
    • Internal thoracic a. & v.
      • Superior epigastric
      • Musculophrenic
      • Anterior intercostal
    • Posterior intercostal a. & v.
    • Brachiocephalic vv. (right & left)
    • Thymic v.
    • Inferior thyroid v.
    • Left superior intercostal v.
    • Superior vena cava (SVC)
    • Azygos v.
    • Pericardiacophrenic a. & v.
  7. Aorta
    • Ascending
    • Arch
      • Brachiocephalic trunk (right only)
      • Left common carotid
      • Left subclavian
    • Descending
  8. Muscles
    • External intercostal m. & membrane
    • Internal intercostal m. & membrane
    • Innermost intercostal m.
      • Transversus thoracis m.
      • Subcostal m. (to be seen in later dissection)
  9. Miscellaneous
    • Hilum of lung
    • Parasternal lymph nodes
    • Endothoracic fascia