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1. Coberta por pele, fáscia e músculos;
2. Função principal de proteger as vísceras toracicas + função mecânica para
respiração;
3. Trabalha junto com a cavidade abdominal fazendo aumentar e diminuir as
pressões intra-abdominal e intra-toracica  transferencia de gas.
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Costelas:
Verdadeiras: 1-7
Falsas: 8-10
Flutuantes: duas últimas
Típicas: 3ª 9ª
• Colo
• Corpo
• cabeça
• tubérculo
Atípicas: 1ª, 2ª,10ª - 12ª
As cartilagens costais prolongam as
costelas anteriormente e ajudam na
elasticidade da caixa toracica.elasticidade da caixa toracica.
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Atípica
Obs: Fratura de costela; Toracotomia;
costela extra-numerária
Típica
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Vértebras costais ou toracicas
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Braço de bomba e alça de balde: a
combinação destes movimentos
aumenta os diâmetros AP e
transversal da Caixa torácica.
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Camada superficial;
Homens e mulheres;
Glândulas mamárias + tecido gorduroso  mais desenvolvido nas mulheres 
reprodução
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Importância da disposição anatômica dessas estruturas???
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Mediastino
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Pleura: Saco seroso com duas membranas contínuas.
1. pleura parietal: reveste a cavidade pleural
2. Pleura visceral: aderido aos pulmões.
3. cavidade pleural: contém liquido seroso que facilita o deslizamento do
pulmão.
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Lesão pleural
Atrito
pleural
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Pulmões:
função da respiração – troca gasosa
São leves, macios, rosáceos, esponjosos e elásticos;
São separados pelo coração;
Possui uma raiz e um hilo;
Dividido em lobos por fissuras;
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Face mediastinal
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Traquéia e brônquios
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Brônquio principal
Bronquíolo segmentar
Bronquíolo terminal
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Circulação pulmonar
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Tronco pulmonar
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 O ar entra no trato respiratório através de duas aberturas chamadas
narinas.
 Em seguida, flui pelas cavidades nasais direita e esquerda, que
estão revestidas por mucosa respiratória.
 O septo nasal separa essas duas cavidades.
 Os pêlos do interior das narinas filtram grandes partículas de poeira
que podem ser inaladas.
 Além disso, a cavidade nasal contêm células receptoras para o
olfato.
Nariz
olfato.
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FARINGE
A faringe é um tubo que começa nas coanas e estende-se para baixo no pescoço.
Ela se situa logo atrás das cavidades nasais e logo a frente às vértebras cervicais.
A faringe funciona como uma passagem de ar e alimento.
A faringe é dividida em três regiões anatômicas: nasofaringe, orofaringe e laringofaringe.
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LARINGE
A laringe é um órgão curto que conecta a faringe com a traquéia. Ela se situa na
linha mediana do pescoço, diante da quarta, quinta e sexta vértebra
cervicais.
A laringe tem três funções:
Atua como passagem para o ar durante a respiração;
Produz som, ou seja, a voz (por esta razão é chamada de caixa de voz);
Impede que o alimento e objetos estranhos entrem nas estruturas respiratóriasImpede que o alimento e objetos estranhos entrem nas estruturas respiratórias
(como a traquéia).
A parede da laringe é composta de nove peças de cartilagens.
Três são ímpares (cartilagem tireóidea, cricóidea e epiglótica) e três são pares
(cartilagem aritenóidea, cuneiforme e corniculada).
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Mediastino:
Cavidade central onde ficam alojadas toas as vísceras torácicas, exceto os
pulmões;
É coberto pela pleura mediastinal;
Estende-se da abertura superior do tórax ao diafragma e do esterno ao
corpo das vértebras;
Região móvel com vísceras ocas e cheias de líquido;(presas por tecido conj.
frouxo);  importante para respiração e pulsação das artérias;
1. Mediastino Superior
2. Mediastino inferior: Anterior, médio e inferior;
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Mediastino:
T4-T5
Mediastino
médio
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Mediastino médio
1. Contém o pericárdio, o coração, os grandes vasos( aorta, VCI), Tronco pulmonar...
2. PERICÁRDIO: saco fibroseroso que envolve o coração; Duas lâminas (fibrosa e
serosa –visceral e parietal);
3. Preso pelo ligamento pericardicofrênco;
Pericárdio fibroso
Pericárdio seroso
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Seio transerso do
pericárdio
Importância clínica
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T5-T6: área núa do
pericárdio
pericardiocentese
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Áreas de menorÁreas de menor
risco para punção
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1. Bomba muscular dupla (Direita e esquerda)
2. Recebe sangue pouco oxigenado e envia sangue oxigenado;
3. Possui 4 câmaras: átrio e ventrículo Direito + átrio e ventrículo Esquerdo.
4. Ciclo cardíaco: Diástole (relaxamento) e sístole(contração);
5. Bulhas cardíacas;
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Circulação nas câmaras cardíacas
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Circulação nas câmaras cardíacas
Veias pulmonares
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Camadas do coração
Pericárdio
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Miocárdio: fibras obliquas; movimento de torção; presas ao esqueleto ou trígono
fibroso.
Arcabouço Rico em
colágeno
Ancora as fibras do miocárdio;
Mantém aberta os orifícios p as
válvulas semilunares;
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Coração e raiz dos grandes vasos
1. Coração + saco pericárdico=
2/3 à esquerda;
2. Forma de pirâmide ou cônica
 face diafragmática, face
esternocostal e faceesternocostal e face
pulmonar;
3. Um ápice olhando para
frente e para baixo (antero-
inferior);
4. Uma base oposta olhando
posteriormente;
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Câmaras cardíacas: átrio Direito
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forame oval, é um orifício no septo entre os dois átrios cardíacos direito e
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Ventrículo Direito
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Sai do VD
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Átrio Esquerdo
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Átrio Esquerdo
com suas 4
veias
pulmonares
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Ventrículo esquerdo:
1. Valva AV esquerda
2. Trabéculas cárneas mais fortes
3. Músculos papilares
4. Cordas tendíneas
5. Óstio da aorta
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Mitral
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Mitraltricúspide
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Parte ascendente da
aorta
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Ramo ascendente
da aorta
Mediastino
superior
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Algumas estrutiras do mediastino Superior: acima do ângulo do esterno
Timo
Grandes vasos: VCS, Tronco Braquiocefálico, arco da aorta, traquéia e esôfago.
Mediastino
superior
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No mediastino posterior,vamos ter principalmente a parte torácica da
aorta e o esôfago.
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Mediastino posterior
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Anatomia do torax (1)

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  • 3. 1. Coberta por pele, fáscia e músculos; 2. Função principal de proteger as vísceras toracicas + função mecânica para respiração; 3. Trabalha junto com a cavidade abdominal fazendo aumentar e diminuir as pressões intra-abdominal e intra-toracica  transferencia de gas. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 4. Costelas: Verdadeiras: 1-7 Falsas: 8-10 Flutuantes: duas últimas Típicas: 3ª 9ª • Colo • Corpo • cabeça • tubérculo Atípicas: 1ª, 2ª,10ª - 12ª As cartilagens costais prolongam as costelas anteriormente e ajudam na elasticidade da caixa toracica.elasticidade da caixa toracica. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 5. Atípica Obs: Fratura de costela; Toracotomia; costela extra-numerária Típica This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 6. Vértebras costais ou toracicas This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 10. Braço de bomba e alça de balde: a combinação destes movimentos aumenta os diâmetros AP e transversal da Caixa torácica. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 11. Camada superficial; Homens e mulheres; Glândulas mamárias + tecido gorduroso  mais desenvolvido nas mulheres  reprodução This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 22. Importância da disposição anatômica dessas estruturas??? This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 27. Mediastino This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 29. Pleura: Saco seroso com duas membranas contínuas. 1. pleura parietal: reveste a cavidade pleural 2. Pleura visceral: aderido aos pulmões. 3. cavidade pleural: contém liquido seroso que facilita o deslizamento do pulmão. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 31. Lesão pleural Atrito pleural This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 32. Pulmões: função da respiração – troca gasosa São leves, macios, rosáceos, esponjosos e elásticos; São separados pelo coração; Possui uma raiz e um hilo; Dividido em lobos por fissuras; This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 33. Face mediastinal This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 37. Traquéia e brônquios This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 38. Brônquio principal Bronquíolo segmentar Bronquíolo terminal This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 43. Circulação pulmonar This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 44. Tronco pulmonar This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 45.  O ar entra no trato respiratório através de duas aberturas chamadas narinas.  Em seguida, flui pelas cavidades nasais direita e esquerda, que estão revestidas por mucosa respiratória.  O septo nasal separa essas duas cavidades.  Os pêlos do interior das narinas filtram grandes partículas de poeira que podem ser inaladas.  Além disso, a cavidade nasal contêm células receptoras para o olfato. Nariz olfato. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 47. FARINGE A faringe é um tubo que começa nas coanas e estende-se para baixo no pescoço. Ela se situa logo atrás das cavidades nasais e logo a frente às vértebras cervicais. A faringe funciona como uma passagem de ar e alimento. A faringe é dividida em três regiões anatômicas: nasofaringe, orofaringe e laringofaringe. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 50. LARINGE A laringe é um órgão curto que conecta a faringe com a traquéia. Ela se situa na linha mediana do pescoço, diante da quarta, quinta e sexta vértebra cervicais. A laringe tem três funções: Atua como passagem para o ar durante a respiração; Produz som, ou seja, a voz (por esta razão é chamada de caixa de voz); Impede que o alimento e objetos estranhos entrem nas estruturas respiratóriasImpede que o alimento e objetos estranhos entrem nas estruturas respiratórias (como a traquéia). A parede da laringe é composta de nove peças de cartilagens. Três são ímpares (cartilagem tireóidea, cricóidea e epiglótica) e três são pares (cartilagem aritenóidea, cuneiforme e corniculada). This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 54. Mediastino: Cavidade central onde ficam alojadas toas as vísceras torácicas, exceto os pulmões; É coberto pela pleura mediastinal; Estende-se da abertura superior do tórax ao diafragma e do esterno ao corpo das vértebras; Região móvel com vísceras ocas e cheias de líquido;(presas por tecido conj. frouxo);  importante para respiração e pulsação das artérias; 1. Mediastino Superior 2. Mediastino inferior: Anterior, médio e inferior; This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 55. Mediastino: T4-T5 Mediastino médio This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 56. Mediastino médio 1. Contém o pericárdio, o coração, os grandes vasos( aorta, VCI), Tronco pulmonar... 2. PERICÁRDIO: saco fibroseroso que envolve o coração; Duas lâminas (fibrosa e serosa –visceral e parietal); 3. Preso pelo ligamento pericardicofrênco; Pericárdio fibroso Pericárdio seroso This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
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  • 58. Seio transerso do pericárdio Importância clínica This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 59. T5-T6: área núa do pericárdio pericardiocentese This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 60. Áreas de menorÁreas de menor risco para punção This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 61. 1. Bomba muscular dupla (Direita e esquerda) 2. Recebe sangue pouco oxigenado e envia sangue oxigenado; 3. Possui 4 câmaras: átrio e ventrículo Direito + átrio e ventrículo Esquerdo. 4. Ciclo cardíaco: Diástole (relaxamento) e sístole(contração); 5. Bulhas cardíacas; This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 62. Circulação nas câmaras cardíacas This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 63. Circulação nas câmaras cardíacas Veias pulmonares This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 64. Camadas do coração Pericárdio This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 65. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 66. Miocárdio: fibras obliquas; movimento de torção; presas ao esqueleto ou trígono fibroso. Arcabouço Rico em colágeno Ancora as fibras do miocárdio; Mantém aberta os orifícios p as válvulas semilunares; This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 67. Coração e raiz dos grandes vasos 1. Coração + saco pericárdico= 2/3 à esquerda; 2. Forma de pirâmide ou cônica  face diafragmática, face esternocostal e faceesternocostal e face pulmonar; 3. Um ápice olhando para frente e para baixo (antero- inferior); 4. Uma base oposta olhando posteriormente; This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 68. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 69. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 70. Câmaras cardíacas: átrio Direito This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 71. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 72. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 73. forame oval, é um orifício no septo entre os dois átrios cardíacos direito e esquerdo. Período fetal.This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 74. Ventrículo Direito This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 75. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 76. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 77. Sai do VD Cordas tendíneasThis page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 78. Átrio Esquerdo This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 79. Átrio Esquerdo com suas 4 veias pulmonares This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 80. Ventrículo esquerdo: 1. Valva AV esquerda 2. Trabéculas cárneas mais fortes 3. Músculos papilares 4. Cordas tendíneas 5. Óstio da aorta This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 81. Mitral This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 82. Mitraltricúspide This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 83. Parte ascendente da aorta This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 84. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 85. Ramo ascendente da aorta Mediastino superior This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 86. Algumas estrutiras do mediastino Superior: acima do ângulo do esterno Timo Grandes vasos: VCS, Tronco Braquiocefálico, arco da aorta, traquéia e esôfago. Mediastino superior This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 87. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 88. No mediastino posterior,vamos ter principalmente a parte torácica da aorta e o esôfago. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 89. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 90. This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1
  • 91. Mediastino posterior This page was created using BCL ALLPDF Converter trial software. To purchase, go to http://store.bcltechnologies.com/productcart/pc/instPrd.asp?idproduct=1