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The carina occurs at the lower end of the trachea - usually at the level of the 4th to 5th thoracic vertebra. [3] [4] This is in line with the sternal angle, but the carina may raise or descend up to two vertebrae higher or lower with breathing. The carina lies to the left of the midline, and runs antero-posteriorly (front to back). [citation ...
It helps to divide the trachea into two primary bronchi. The right bronchus makes an angle of 25°, while the left one makes an angle of 45°. The carina is a sensitive area. When the patient is made to lie on their left side, secretions from the right bronchial tree flow toward the Carina due to the effect of gravity.
Each lung has a costal surface, which is adjacent to the ribcage; a diaphragmatic surface, which faces downward toward the diaphragm; and a mediastinal surface, which faces toward the center of the chest, and lies against the heart, great vessels, and the carina where the two mainstem bronchi branch off from the base of the trachea.
The anterior thoracic wall, the airways and the pulmonary vessels anterior to the root of the lung have been digitally removed in order to visualize the different levels of the pulmonary circulation. Image showing main pulmonary artery coursing ventrally to the aortic root and trachea .
The mediastinum (from Medieval Latin: mediastinus, lit. 'midway'; [2] pl.: mediastina) is the central compartment of the thoracic cavity.Surrounded by loose connective tissue, it is a region that contains vital organs and structures within the thorax, namely the heart and its vessels, the esophagus, the trachea, the vagus, phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph ...
The carina of the trachea is located at the level of the sternal angle and the fifth thoracic vertebra (at rest). The right main bronchus is wider, shorter, and more vertical than the left main bronchus, [ 3 ] its mean length is 1.09 cm. [ 4 ] It enters the root of the right lung at approximately the fifth thoracic vertebra.
At the level of T4 vertebrae, it arches over the root of the right lung from behind to the front to join the superior vena cava. The trachea and oesophagus is located medially to the arch of the azygous vein. [4] [5] The "arch of the azygos vein" (arcus venae azygos) is an important anatomic landmark.
The most common symptom of laryngotracheal stenosis is gradually-worsening breathlessness particularly when undertaking physical activities (exertional dyspnea).The patient may also experience added respiratory sounds which in the more severe cases can be identified as stridor but in many cases can be readily mistaken for wheeze.