Thoracic Artery In The Clinical (Coronary Artery Bypass Grafting) Anatomy

Objective:Research the sternoclavicular joints and articular disc’sanatomical location and its deep area’s adjacent to the structure.The purpose is to have the better understand to the anatomicstructure of the sternoclavicular joints, and to determine thesafety range of the surgery,. The research is used to provide theanatomical information for a clinical therapy of thymoma.Materials and methods:60bodies (35men,25women) used for teaching,and they aresoaking in formalin for a long time. the specimens intact, neck,chest structure of unknown age. Observation record locks bustjoint structure and lock the joint plate shape, the size of thechest measurement and orientation lock joint plate into theposition of the needle point, measuring and positioning withinthe thoracic arteries, veins on both sides of the head.Measurement within the thoracic artery and the lateral marginof the rib gap from the sternum.The results:1.Sternoclavicular joints of sternum surface before andafter the joint diameter was20.38±4.12mm, about size was16.34±3.14mm. Sternoclavicular joints joints before clearance of7.92±1.38mm, after clearance of4.28±1.20mm, the clearance of6.83±2.08mm, the gap is4.78±1.34mm.2.Sternoclavicular joint articular disc as a front thicker,rear thinner articular cartilage, its specific anatomical datafor, on the margin of5.90±1.32mm thick, thick edge of2.26±0.18mm, leading edge7.66±2.04mm, thick trailing edgethickness3.74±0.58mm, center3.74±0.92mm thick.3.On line by the sternoclavicular joints thymomainterventional treatment, into the position of the needle pointis often closely related to the location of thesternoclavicular joint articular disc, the statistical resultsshow that the needle point away from the center of the frontline distance of19.52±3.12mm, and within the thoracicartery located in the outside into the needle point, thedistance into the needle point and thoracic artery was12.64±2.62mm.4.On the right side of the thoracic vein into the positionof the brachiocephalic veins in medial to the into the needlepoint, the distance of6.08±1.34mm, inside the leftthoracic vein into the position of the brachiocephalic veins in into the outer edge of the needle point, and the needle pointdistance of25.36±5.26mm.5.Pleura mediastinal pleura and wall on the right side ofthe intersection of the place with the needle point close tothe distance from the center of the front line of24.46±3.16mm, to the left of the pleura mediastinal pleura and walldistance intersection place with the needle point, the distancefrom the center of the front line of25.18±3.82mm.6.brachiocephalic veins is located in the deep side ofthymus and the puncture plane, on the left side of thebrachiocephalic veins of the distance from the center of thefront line around the29.743.14mm, on the right side of thebrachiocephalic veins of the distance from the center of thefront line of28.70±4.42mm.Conclusion:1.Thymic percutaneous intervention therapy, should bepreferred by the road of sternoclavicular joints into the.Compared to remember on the sternum, gap near the sternum riband sternocleidomastoid section inside of the rim into theneedle, etc., under the sternoclavicular joints into the needlehas its unique advantages and advantages. 2.Sternoclavicular joint gap is larger, selectsternoclavicular joints into the needle with greater mobility,can better in the intervention treatment of injected liquidinto thymoma.3.The sternoclavicular joints into the needle can be withinthe maximum to avoid damage on either side of the sternumthoracic arteriovenous and thymic veins on the surface of thedeep head.