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Home  »  Anatomy of the Human Body  »  pages 718

Henry Gray (1825–1861). Anatomy of the Human Body. 1918.

pages 718

  The lymphatic vessels of the thoracic viscera comprise those of the heart and pericardium, lungs and pleura, thymus, and esophagus.
  The Lymphatic Vessels of the Heart consist of two plexuses: (a) deep, immediately under the endocardium; and (b) superficial, subjacent to the visceral pericardium. The deep plexus opens into the superficial, the efferents of which form right and left collecting trunks. The left trunks, two or three in number, ascend in the anterior longitudinal sulcus, receiving, in their course, vessels from both ventricles. On reaching the coronary sulcus they are joined by a large trunk from the diaphragmatic surface of the heart, and then unite to form a single vessel which ascends between the pulmonary artery and the left atrium and ends in one of the tracheobronchial glands. The right trunk receives its afferents from the right atrium and from the right border and diaphragmatic surface of the right ventricle. It ascends in the posterior longitudinal sulcus and then runs forward in the coronary sulcus, and passes up behind the pulmonary artery, to end in one of the tracheobronchial glands.


FIG. 622– The tracheobronchial lymph glands. (From a figure designed by M. Hallé.) (See enlarged image)
  The Lymphatic Vessels of the Lungs originate in two plexuses, a superficial and a deep. The superficial plexus is placed beneath the pulmonary pleura. The deep accompanies the branches of the pulmonary vessels and the ramifications of the bronchi. In the case of the larger bronchi the deep plexus consists of two net-works—one, submucous, beneath the mucous membrane, and another, peribronchial, outside the walls of the bronchi. In the smaller bronchi there is but a single plexus, which extends as far as the bronchioles, but fails to reach the alveoli, in the walls