Anatomy
Serous Membrane
Visceral and parietal division, approximately equal surface area. Each is 1 layer of
mesothelial cells, basement membrane, connective tissue, microvessels and lymphatics
Mesothelial Cells
Single layer, pleomorphic. Surface microvilli, more dense on visceral side of pleura
Stomata
Opening between cells, 2-12 um, only on the parietal surface. The usual exits into
lymphatic lacunae for liquid, protein, and cells
Blood Supply
Some controversy. Human visceral pleura supplied by systemic bronchial vessels, drain
through fairly large capillaries to pulmonary veins. Parietal blood from adjacent chest
wall, drainage to bronchial veins; diaphragmatic pleura supply from nearby arteries,
drainage to inferior vena cava and brachiocephalic trunk
Lymphatics
More dense lower and toward the mediastinum. Drainage toward hilum either via lung or
pleura itself. Stomata lead to lacunae which form valves. Drain to mediastinum via
intercostal route depending on origin. Visceral pleural drainage to middle mediastinal
nodes or posterior (lower lobes)