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Flashcards in Vascular Deck (64)
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1
Q

At what level and side does artery of adamkiewicz originate?

A

left side between T9-T12

2
Q

What is the first branch of the SMA?

A

inferior pancreaticoduodenal

3
Q

What is the arc of riolan made up of?

A

left colic from IMA and middle colic from SMA

4
Q

If vessel is seen in fissure of ligamentum venosum it is likely what?

A

replaced left hepatic artery arising from left gastric artery

5
Q

replaced right hepatic artery is located where in relation to main portal vein?

A

posterior of it (proper right hepatic is anterior)

6
Q

Mneomic for posterior division of internal iliac

A

i love sex

illiolumbar
lateral sacral
superior gluteal

7
Q

anterior internal iliac branches

A
umbilical
superior vesicular
inferior vesicular
uterine
middle rectal
internal pudendal
inferior gluteal
obturator
8
Q

ovarian arteries arise from where 80-90% of the time?

A

anterior medial aorta

9
Q

What vessels are involved in the conventional collateral pathway of the celiac to SMA?

A

celiac - common hepatic- GDA- superior pancreatic duodenal- inferior pancreatic duodenal - SMA

10
Q

SMA to IMA conventional collateral pathway

A

SMA- middle colic- left branch of middle colic- arc of riolan- left colic- IMA

11
Q

IMA to iliacs conventional collateral pathway

A

IMA- superior rectal- inferior rectal-internal pudendal- anterior branch of the internal iliac

12
Q

What is the winslow pathway?

A

seen in aorto iliac occlusion

Subclavian- internal thoracic-superior epigastric-inferior epigastric-external iliac

13
Q

what is the corona mortis

A

between obturator and external iliac

14
Q

axillary artery begins where

A

at the first rib

15
Q

brachial artery begins where

A

at lower border of the teres major

16
Q

External iliac becomes common femoral once it gives off what?

A

inferior epigastric

17
Q

Left sided SVC is a/w with what

A

unroofed coronary sinus, ASD

18
Q

ascending aortic calcification is seen in what two things

A

syphillis and takayasu

19
Q

Cystic medial necrosis=

A

Marfans

20
Q

Sinus of valsalva is most commonly associated with what cardiac anomaly

A

VSD

21
Q

what is surgical procedure for sinus of valsalva aneursym

A

Bentall procedure

22
Q

orificial renal artery stenosis w/ HTN in child?

A

NF1

23
Q

tulip bulb aorta=

A

Marfans

24
Q

triple barreled dissection-

A

Marfans

25
Q

What is seen in leys dietz?

A

tortuous vessels with wide crazy eyes

26
Q

saccular asymmetric aortic aneurysm with involvement of the aortic root branches

A

syphilitic aneurysm

27
Q

tree bark intimal calcs=

A

syphilis

28
Q

what part of the bowel is involved in aortoenteric fistula

A

3rd and 4th portion of the duodenum

29
Q

What is the clinical triad of Leriche syndrome

A

impotence
claudication
absent femoral pulses

30
Q

What is mid aortic syndrome?

A

affects kids, progressive aortic narrowing

31
Q

What is the triad of mid aortic syndrome

A

HTN
claudication
renal failure

32
Q

rib notching seen with what ribs in coarc?

A

4th-8th

33
Q

what is the most common cause of thoracic outlet?

A

compression by anterior scalene

34
Q

What is Paget Schroetter?

A

thoracic outlet syndrome with thrombus in subclavian vein

35
Q

What is Hughes Stovin Syndrome?

A

recurrent thrombophlebitis and pulmonary artery aneursym formation/rupture

36
Q

Where is mesenteric ischemia most common?

A

griffifths point-watershed of sma and IMA

37
Q

venous mesenteric ischemia bowel features?

A

dilation with wall thickening

38
Q

arterial mesenteric ischemia bowel features?

A

thin bowel wall- no dilation

39
Q

What is Sudek’s point?

A

IMA iliac watershed

40
Q

colonic angiodysplasia + aortic stenosis=

A

heyde syndrome

41
Q

FMD treatment?

A

angioplasty without stenting

42
Q

multiple abdominal splanchnic artery saccular aneurysms/dissections/occlusion=

A

SAM

43
Q

What is May Thurner

A

compression of left common iliac vein by right common iliac artery

44
Q

klippel trenaunay syndrome triad

A

port wine nevi
limb hypertrophy
venous malformation

can see

45
Q

what is pathognomonic for klippel trenaunay?

A

marginal vein of servelle

46
Q

What is normal ABI?

A

1

47
Q

rest pain ABI?

A

< 0.3

48
Q

which type is most common takayasu?

A

3 involving arch and abdominal aorta

49
Q

What is cogan syndrome?

A

large vessel vasculitis affecting kids

kid with eye/ear stuff + aortitis

50
Q

PAN is a/w what?

A

Hep B

51
Q

calcified coronary artery=

A

Kawasaki

52
Q

nasal perforation+ cavitary lung lesions=

A

wegeners

53
Q

transient peripheral lung consoidation+

A

churg strauss

54
Q

microscopic polyangitis affects what organs

A

kidneys and lungs

55
Q

HSP will be shown in what two classic ways?

A

intussusception or scrotal edema

56
Q

auto amputation=

A

bergers

57
Q

slam dunk finding for HHS?

A

pseudo aneurysm off ulnar artery

58
Q

bilateral parvus tardus=

A

aortic stenosis

59
Q

unilateral parvus tardus=

A

innominate stenosis

60
Q

aortic regurg CCA on US

A

reversal of diastolic flow

61
Q

loss of diastolic flow=

A

brain death

62
Q

intra aortic balloon pump on carotid us?

A

extra bump

63
Q

LVAD on carotid us?

A

tardus parvus

64
Q

pulsus bisferiens seen in 2

A

HOCM, AR