Abdominal Vasculature - Part 2 Flashcards

1
Q

What is the 2nd major branch of the abdominal aorta?

A

SMA

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2
Q

Where does the SMA arise from?

A

The anterior surface of the aorta, inferior to the celiac axis

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3
Q

What does the SMA branches supply? (6)

A
  1. Jejunum
  2. Ileum
  3. Cecum
  4. Ascending colon
  5. Portions of the
    transverse colon
  6. Head of the pancreas
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4
Q

What kind of resistance is in the SMA when fasting?

A

High-resistance multiphasic blood flow

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5
Q

What kind of resistance is in the SMA after a meal?

A

Low-resistance elevated systolic and diastolic velocities, with continuous forward flow in diastole

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6
Q

Where does the middle suprarenal arteries arise from?

A

The lateral aspect of the abdominal aorta

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7
Q

Where does the middle suprarenal arteries course?

A

Laterally and slightly superior over the crura of the diaphragm to the
adrenal glands

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8
Q

Where does the right renal artery arise from?

A

The anterior lateral aspect of the abdominal aorta

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9
Q

Where does the left renal artery arise from?

A

The posterior lateral aspect of the abdominal aorta

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10
Q

Where does the main renal arteries course?

A

Posterior to the renal veins

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11
Q

What does the renal artery bifurcate into?

A

Segmental arteries at the renal hilum

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12
Q

What kind of resistance occurs in the main renal arteries?

A

Low-resistance blood flow

- with continuous forward flow in diastole

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13
Q

How common is it to have duplicated main renal arteries?

A

33%

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14
Q

Where do the gonadal arteries arise from?

A

From the anterior aspect of the abdominal aorta inferior to the renal arteries

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15
Q

Where do the gonadal arteries course?

A

Parallel to the psoas muscle into the pelvis

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16
Q

What is the resistance in the gonadal arteries?

A

Low-resistance blood flow

- with continuous flow through diastole

17
Q

Can you see the gonadal arteries on US?

A

No

18
Q

What is the last major branch of the abdominal aorta?

A

IMA

19
Q

Where does the IMA arise from?

A

From the anterior aorta

20
Q

Where does the IMA course?

A

Inferior and to the left of midline

21
Q

What does the IMA supply? (4)

A
  1. Left transverse colon
  2. Descending colon
  3. Upper rectum
  4. Sigmoid
22
Q

What is a source of collateral flow for the lower extremities?

A

IMA

23
Q

What kind of resistance is seen in the IMA?

A

Low-resistance blood flow

- with continuous flow through diastole

24
Q

What are the main parietal branches of the abdominal aorta? (3)

A
  1. Inferior phrenic artery
  2. Lumbar arteries
  3. Median sacal artery
25
Q

Where does the inferior phrenic artery arise from?

A

From the anterior aspect of the abdominal aorta branching in to the right and left inferior phrenic arteries just below the diaphragm near the level of the 12th thoracic vertebrae

26
Q

What does the inferior phrenic artery supply?

A

The inferior portion of the diaphragm

27
Q

What does the inferior phrenic artery give rise to?

A

The superior suprarenal artery

28
Q

How many lumbar arteries are there?

A

8

- 4 on each side of the abdominal aorta

29
Q

What do the lumbar arteries supply? (2)

A
  1. The abdominal wall

2. Spinal cord

30
Q

Where are the lumbar arteries located compared to the gonadal arteries and the IMA?

A

Inferior to the gonadal arteries

Superior to the IMA

31
Q

Where is the median sacral artery located compared to the IMA and aortic bifurcation?

A

Inferior to the IMA

Superior to the aortic bifurcation

32
Q

What is the medial sacral artery collateral flow for?

A

The lower extremities