1.2. Vascular High Yield Flashcards
Vessel in the fissure of the ligamentum venosum
Replaced left hepatic artery
Vessel coursing of the belvic brim
Corona mortis
Ascending aortic calcifications
Syphillis or Takayasu
tulip bulb aorta
Marfans
Really bad marfan’s variant
Loeys-Dietz
Tortuous vessels
Loeys-Dietz
Renal artery stenosis with HTN (child)
NF-1
Nasty saccular aneurysm without intimal calcifications
Mycotic
Tree bark intimal calcifications
Syphilitic (leutic) aneurysm
Painful aneurysm in smoker, sparing posterior wall
Inflammatory aneurysm
Turkish, pulmonary artery aneurysm
Behcets
GI bleed, early opacification of dilated draining vein
Colonic angiodysplasia
Spider web appearance of hepatic veins on angiogram
Budd chiari
Non-compressible varicocele…
…look for abdominal malignancy
Right sided varicocele…
…look for right renal mass
swollen left leg
May Thurner
Popliteal aneurysm (Ix)
Look for AAA and other leg
Worst complication of popliteal aneurysm
Distal emboli
Great saphenous vein on the wrong (lateral) side of calf
Marginal vein of Servelle - pathognomonic for Klippel-Trenaunay syndrome
Asian
Takayasu
Involves the aorta
Takayasu
Kid with vertigo and aortitis
Cogan syndrome
Nasal perforation and cavitating lung lesions
Wegeners (Granulomatosis with Polyangiitis)
Diffuse pulmonary haemorrhage
Microscopic polyangitis
Smoker + hand angiogram
Buergers
Builder + hand angiogram
Hypothenar hammer
Unilateral tardus parvus in the carotid
Stenosis of the innominate
Bilateral tardus parvus in the carotids
Aortic stenosis
Bilateral reversal of flow in the carotids
aortic regurg
Lack of diastolic flow on carotid US
Brain Death
Artery of Adamkiewicz
Left sided (70%) between T8-L1 (90%)
Arch of Riolan
Middle colic branch of SMA with left colic of IMA
Commonest hepatic vascular variant
Right hepatic artery replaced off the SMA
Proper vs replaced right hepatic artery
Proper is anterior to right portal vein,
Displaced is posterior to main portal vein
Commonest hepatic venous variant
Accessory right inferior hepatic vein
First branch off the popliteal artery
Anterior tibial artery
Common femoral artery begins at…
Inguinal ligament
SFA begins at…
Once the CFA gives off profunda femoris
Popliteal artery begins…
As the SFA exists the adductor canal
Popliteal artery terminates…
… As anterior tibial artery and tibioperoneal trunk
Axillary artery begins at
1st rib
Brachial artery begins as
it crosses the teres major
Brachial artery bifurcates to…
…ulnar and radial artery
Intraosseous branch typically arises from…
…Ulnar artery
Superficial arch supplied by
Ulnar artery
Deep arch supplied by
Radial artery
Coronary vein aka
left gastric vein
Enarged splenorenal shunts associated with
Hepatic encephalopathy
Commonest cause of aortic dissection and intramural haematoma
Hypertension (70%)
Penetrating ulcer is from…
Atherosclerosis
Strongest predictor of progression of dissection in intramural haematoma
Max aortic diameter >5cm
Leriche syndrome triad
Claudication, Absent/decreased femoral pulses, Impotence
Commonest associated defect with aortic coarctation
Bicuspid aorta
Commonest type of thoracic outlet syndrome
Neurogenic compression
More common in pregnancy and more likely to rupture
Splenic artery aneurysm
Median arcuate compression
Worse with expiration
Colonic angiodysplasia associated with
Aortic stenosis
Popliteal aneurysm associations (3)
30-50% have AAA,
10% of AAA have popliteal aneurysm
50-70% popliteal aneurysm are bilateral
Medial deviation of popliteal artery by medial head of gastrocnemius
Popliteal entrapment
Commonest type of takayasu
Type 3 (arch & abdominal aorta)
Commonest childhood vasculitis
Henoch-Schonlein purpura