The inferior mediastinum is the lower, larger part of the mediastinum, lying below the plane that passes from the sternal angle to the T4-T5 intervertebral disc. The pericardium and heart divide it into three parts: anterior, middle and posterior. It extends down to the diaphragm.
| Location | Between the transverse thoracic plane (sternal angle to T4-T5) and the diaphragm, from the sternum to the vertebral bodies. |
|---|---|
| Parts | |
| Lymphatic drainage |
|
Contains the heart in its pericardial sac, the lower oesophagus, descending aorta and associated nerves, veins and lymphatics.
The transverse thoracic plane at the sternal angle is a key surface landmark: it marks the tracheal bifurcation, the start and end of the aortic arch and the second costal cartilage. Lesions in the inferior mediastinum are described by which of the three subdivisions they lie in to narrow down the cause.
A benign fluid-filled sac, most often at the right cardiophrenic angle. It is usually found incidentally and rarely causes symptoms.
Bleeding into the mediastinum after trauma, surgery or aortic injury. Large collections can compress the heart or airways.
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