By Peggy Funches
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Extra info for Minority Contributions to Science, Engineering, and Medicine
10 The thorax Coarctation of the aorta (see Fig. 34b and page 46) In coarctation of the aorta, the intercostal arteries derived from the aorta receive blood from the superior intercostals (from the costocervical trunk of the subclavian artery), from the anterior intercostal branches of the internal thoracic artery (arising from the subclavian artery) and from the arteries anastomosing around the scapula. Together with the communication between the internal thoracic and inferior epigastric arteries, they provide the principal collaterals between the aorta above and below the block.
The head continues as a stout neck, which gives attachment to the costotransverse ligaments, a tubercle with a rough non-articular portion and a smooth facet, for articulation with the transverse process of the corresponding vertebra, and a long shaft flattened from side to side and divided into two parts by the ‘angle’ of the rib. The angle demarcates the lateral limit of attachment of the erector spinae muscle. The following are the significant features of the ‘atypical’ ribs. The 1st rib (Fig.
It may, however, fill with air (pneumothorax), blood (haemothorax) or pus (empyema). e. to the thoracic wall or, in the case of the lower nerves, to the anterior abdominal wall, which may mimic an acute abdominal emergency). 5 cm) in diameter. It commences at the lower border of the cricoid cartilage (C6) and terminates by bifurcating at the level of the sternal angle of Louis (T4/5) to form the right and left main bronchi. ) Relations Lying partly in the neck and partly in the thorax (superior mediastinum), its relations are as follows.