THORAX
Ascending
Pulmonary trunk
Left phrenic
Left vagus
Descending
Muscles of second intercostal space
lnternal thoracic vessels
Right pleura
Right lung
Right phrenic nerve
Superior vena cava
Right pulmonary artery
Right bronchus
Right vagus nerve
Oesophagus
Azygos vein
Thoracic duct
Fifth thoracic veftebra
Fig. 19.3: Transverse section of the thorax passing through the lifth thoracic vertebra
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ASCENDING AORTA
Origin ond Course
The ascending aorta arises from the upper end of the
left ventricle. It is about 5 cm long and is enclosed in
the pericardium (Fig. 19.2).
It begins behind the left half of the stemum at the
level of the lower border of the third costal cartilage.
It runs upwards, forwards and to the right and becomes
continuous with the arch of the aorta at the sternal
end of the upper border of the second right costal
cartilage.
Axillary veln
Lateral
thoracic ve n
Thoracoepigastric
vein
Superficial
epigastric vein
Great saphenous
vetn
Fig, 19.4: Obstruction to superior vena
opening of vena azygos
cava above the Fig. 19.5: Obstruction to superior vena cava below the
opening of vena azygos
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