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Dissection of mediastinum and paravertebral structures

Superior mediastinum.

For permissions information regarding the use of these images, please contact Drew Bourn at dbourn@stanford.edu

Image #127-1
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Dissection of mediastinum and paravertebral structures
Superior mediastinum.
The superior mediastinum has been opened by removing the manubrium and the upper part of the body of the sternum, together with parts of the first and second costal cartilages.
1 . Upper pointer: Thyroid cartilage (left lamina resected) Lower pointer: Cricoid cartilage
2 . Common carotid artery
3 . Internal jugular vein
4 . Anterior scalene muscle
5 . External jugular vein (cut across)
6 . Trapezius muscle and clavicle (cut off)
7 . Deltoid muscle
8 . Lymphatic duct right
9 . Right subclavian artery
10 . Upper pointer: Axillary artery Lower pointer: Axillary vein
11 . Subclavian trunk
12 . Upper pointer: Right bronchomediastinal trunk Lower pointer: Right brachiocephalic vein
13 . Pectoralis minor muscle
14 . Upper pointer: Superior vena cava Lower pointer: Costal pleura
15 . Sternal lymph nodes
16 . Vagus nerve left
17 . Vocal ligament
18 . Longus colli muscle
19 . Trachea
20 . Stellate ganglion
21 . Left subclavian artery
22 . Common carotid artery
23 . Left brachiocephalic vein
24 . Brachiocephalic trunk
25 . Thymus
26 . Costal pleura
27 . Internal thoracic artery and vein
28 . Ascending aorta (covered by fibrous layer of pericardium)
29 . Rib II