Diaphragm

Embryology

  • Septum transversum (central tendon)
  • Pleuro-peritoneal mesodermal membranes
  • Dorsal oesophageal mesentry
  • Cervical myotomes (muscular input into septum transversum before descent)

 

Congenital hernias:

  • Foramen of Bochdalek (failed pleuro-peritoneal membrane) - occurs on posterior left hand side
  • Forman of Morgagni (anterior)
  • - Oesophageal hiatus
  • - Dome

 

Gross Anatomy

 

Blood supply

  • Lower 5 intercostal arteries
  • Subcostal arteries
  • Inferior phrenic arteries
  • Internal thoracic artery gives (1) pericardiophrenic artery (2) musculophrenic artery 

 

Nerve supply

  • Phrenic
  • Intercostals

Apertures

  1. T8:
    • IVC
    • Right phrenic
  2. T10:
    • Oesophagus
    • Vagus nerves
  3. T12:
    • Aorta
    • Azygous vein
    • Thoracic duct