At what level and side does artery of adamkiewicz originate?
left side between T9-T12
What is the first branch of the SMA?
inferior pancreaticoduodenal
What is the arc of riolan made up of?
left colic from IMA and middle colic from SMA
If vessel is seen in fissure of ligamentum venosum it is likely what?
replaced left hepatic artery arising from left gastric artery
replaced right hepatic artery is located where in relation to main portal vein?
posterior of it (proper right hepatic is anterior)
Mneomic for posterior division of internal iliac
i love sex
illiolumbar
lateral sacral
superior gluteal
anterior internal iliac branches
umbilical superior vesicular inferior vesicular uterine middle rectal internal pudendal inferior gluteal obturator
ovarian arteries arise from where 80-90% of the time?
anterior medial aorta
What vessels are involved in the conventional collateral pathway of the celiac to SMA?
celiac - common hepatic- GDA- superior pancreatic duodenal- inferior pancreatic duodenal - SMA
SMA to IMA conventional collateral pathway
SMA- middle colic- left branch of middle colic- arc of riolan- left colic- IMA
IMA to iliacs conventional collateral pathway
IMA- superior rectal- inferior rectal-internal pudendal- anterior branch of the internal iliac
What is the winslow pathway?
seen in aorto iliac occlusion
Subclavian- internal thoracic-superior epigastric-inferior epigastric-external iliac
what is the corona mortis
between obturator and external iliac
axillary artery begins where
at the first rib
brachial artery begins where
at lower border of the teres major
External iliac becomes common femoral once it gives off what?
inferior epigastric
Left sided SVC is a/w with what
unroofed coronary sinus, ASD
ascending aortic calcification is seen in what two things
syphillis and takayasu
Cystic medial necrosis=
Marfans
Sinus of valsalva is most commonly associated with what cardiac anomaly
VSD
what is surgical procedure for sinus of valsalva aneursym
Bentall procedure
orificial renal artery stenosis w/ HTN in child?
NF1
tulip bulb aorta=
Marfans
triple barreled dissection-
Marfans
What is seen in leys dietz?
tortuous vessels with wide crazy eyes
saccular asymmetric aortic aneurysm with involvement of the aortic root branches
syphilitic aneurysm
tree bark intimal calcs=
syphilis
what part of the bowel is involved in aortoenteric fistula
3rd and 4th portion of the duodenum
What is the clinical triad of Leriche syndrome
impotence
claudication
absent femoral pulses
What is mid aortic syndrome?
affects kids, progressive aortic narrowing
What is the triad of mid aortic syndrome
HTN
claudication
renal failure
rib notching seen with what ribs in coarc?
4th-8th
what is the most common cause of thoracic outlet?
compression by anterior scalene
What is Paget Schroetter?
thoracic outlet syndrome with thrombus in subclavian vein
What is Hughes Stovin Syndrome?
recurrent thrombophlebitis and pulmonary artery aneursym formation/rupture
Where is mesenteric ischemia most common?
griffifths point-watershed of sma and IMA
venous mesenteric ischemia bowel features?
dilation with wall thickening
arterial mesenteric ischemia bowel features?
thin bowel wall- no dilation
What is Sudek’s point?
IMA iliac watershed
colonic angiodysplasia + aortic stenosis=
heyde syndrome
FMD treatment?
angioplasty without stenting
multiple abdominal splanchnic artery saccular aneurysms/dissections/occlusion=
SAM
What is May Thurner
compression of left common iliac vein by right common iliac artery
klippel trenaunay syndrome triad
port wine nevi
limb hypertrophy
venous malformation
can see
what is pathognomonic for klippel trenaunay?
marginal vein of servelle
What is normal ABI?
1
rest pain ABI?
< 0.3
which type is most common takayasu?
3 involving arch and abdominal aorta
What is cogan syndrome?
large vessel vasculitis affecting kids
kid with eye/ear stuff + aortitis
PAN is a/w what?
Hep B
calcified coronary artery=
Kawasaki
nasal perforation+ cavitary lung lesions=
wegeners
transient peripheral lung consoidation+
churg strauss
microscopic polyangitis affects what organs
kidneys and lungs
HSP will be shown in what two classic ways?
intussusception or scrotal edema
auto amputation=
bergers
slam dunk finding for HHS?
pseudo aneurysm off ulnar artery
bilateral parvus tardus=
aortic stenosis
unilateral parvus tardus=
innominate stenosis
aortic regurg CCA on US
reversal of diastolic flow
loss of diastolic flow=
brain death
intra aortic balloon pump on carotid us?
extra bump
LVAD on carotid us?
tardus parvus
pulsus bisferiens seen in 2
HOCM, AR