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Oxford manual of cardiology. The back surface of the heart lies near the vertebral column the front surface sits behind the sternum rib cartilages. The human heart is situated in the middle mediastinum, at the level of thoracic vertebrae T5- T8.

A double- membraned sac called the pericardium surrounds the heart and attaches to the mediastinum. The upper part of the heart is the attachment point for several large.
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