Cardiovascular vessels 2 Flashcards
What are the 4 parts of the aorta?
- Ascending
- Aortic arch
- Thoracic
- Abdominal
Where is the ascending aorta located?
From the aortic valve to the sternal angle
Where is the aortic arch located?
T4/T5
Where is the Thoracic aorta located?
From T4/T5 to T12
Where is the aortic hiatus located?
T12
Where is the abdominal aorta located?
From aortic hiatus OR L1-L4
(KNOW THIS WELL)
Where is the ascending aorta in relation to the pulmonary trunk?
It is posterir to the pulmonary trunk
Which was does the ascending aorta travel?
Travels superior and anterior
What part of the aorta are there coronary arteries located on?
Located on the ascending aorta
Which way is the aortic arch directed?
Direted superiorly and posteriorly
What three arteries come off of the aortic arch?
- Brachiocephalic artery/trunk
- Left common carotid artery
- Left subclavian
T/F
The right brachiocephalic artery/trunk is located superioly to the SVC.
FALSE; There is no right brachiocephalic trunk/artery
What body position places the aortic arch parallel to the IR?
45 degrees RPO/LAO position
What two coronary branches come off of the ascending aorta?
The left and right coronary arteries
What arteries come off the right coronary artery?
- Posterior descending artery
- Marginal branch
What arteries come off of the left coronary artery?
- Left descending artery
- Circumflex branch
Label 1-4
- Brachiocephalic trunk
- Left common carotid
- Left subclavian
- Arch of aorta
Label 2,3,4
What body position is the patient in?
- Brachiocephalic trunk
- Left common carotid
- Left subclavian artery
-RPO/LAO
Label 1-3
- Brachiocephalic trunk
- Left common carotid artery
- Left subclavian artery
Label 1-2
- Right common carotid artery
- Right subclavian artery
What are the 4 main systemic arteries that supply blood to the brain?
- Right internal carotid artery
- Left internal carotid artery
- Right vertebral artery
- Left vertebral artery
What does the common carotid branch into?
It branches into the internal and external carotid arteries.
At what level does common carotid branch into the internal and external cartotid arteries?
Branches into the internal and external cartotid arteries at the level of C4
What forms the first part of the internal carotid artery?
The carotid sinus
Where does the internal carotid artery enter the skull?
Enters the skull through the carotid canal of the temporal bone
What does the internal carotid artery branch into, and where?
Internal carotid artery branches into the anterior and middle cerebral arteries at the pituitary gland.
Where does the anterior cerebral artery supply blood to?
Supplies blood to the frontal lobe of the cerebrum
Where does the middle cerebral artery supply blood to?
Supplies blood to the temporal and parietal lobes
What artery does th vertebral artery arise from?
Vertebral artery arises from the subclavian arteries
Where do the verebral arteries enter the skull?
Enter the skull through the foramen magnum
Where do the verebral arteries ascend through?
Ascends through the transverse formania of the C-spine
What do the right and left verbral arteries unite to form?
They unite to form the basilar artery
Where does the basilar artery travel in relationi to the brain stem?
Travels anterior to the brain stem
What does the basilar artery split to form?
Splits to form the right and left posterior cerebral arteries
If contrast was injected into the posterior cerebral arteries, which side(s) of the brain would contrast be present in?
Contrast would be present into the posterior portion of both left and right sides of the cerebrum and cerebellum
Label 1&2
- Carotid canal
- Jugular foramen
Label 1-6
- Right internal carotid artery
- Right vertebral artery
- Right subclavian artery
- Brachiocephalic trunk
- Right external carotid artery
- Right common carotid
What is this describing?
Elaborate anastomoses of the entrire circulation to the brain
The circle of willis
If inserting a catheter into the brain, is it better to go into the left or the right side of the brain?
Left side, because its eaiser to acess due to the fact that the brachiocephalic trunk is not present
What does the circle of willis surround?
Surrounds the pituitary gland
What connects the anterior cerebral arteries?
The anterior communicating artery
What is the main purpose of the anterior communicating artery?
To provide a right to left shunt in the brain for prevention of blockages
What is the main purpose of the posterior communicating artery?
Provides an antterior to posterior shunt in the brain for prevention of blockages
What does the posterior communicating artery connect?
Connects the posterior cerebral artery with the internal carotid artery
Label 1-7
- Posterior communicating artery
- Anterior communicating artery
- Anterior cerebral artery
- Middle cerebral artery
- Posterior cerebral artery
- Basilar artery
- Vertebral artery
Label 1-4
- Right internal carotid artery
- Right anterior cerebral artery
- Right middle cerebral artery
- Anterior communicating artery
Label 1-4
- Right vertebral artery
- Right basilar artery
- Right posterior cerebral artery
- Right posterior communicating artery
If blood was blocked in both verebral arteries, where would the blood go to?
Blood would into the posterior cerebral artery
What is being shown here?
The circle of willis
Where does the subclavian artery supply bood to?
- Upper extremities
- Head
- Thorax
What does the subclavian artery branch into? Where does it become this artery?
Branches into the axiallary artery at the lateral edge of the 1st rib
What are the major branches of the subclavian artery?
- Internal thoracic (mammary) artery
- Vertebral artery
- Thyrocervical artery
What does the axillary artery branch into? Where does it become this artery?
Axiallary artery becomes the brachial artery when it leaves the axilla at the lateral margin of the first rib
What areas does the axillary artery supply blood to?
Supplies blood to the scapula, humerus, shoulder and thoracic muscles
Label 1-4
- Internal thoracic artery
- Axiallary artery
- Thyrocervical trunk
- Vertebral artery
What artery is most commonly used to obtain blood pressure?
The brachial artery
What does the brachial artery branch into? At what level?
-Brachial artery branches into the radial and unlar arteries at the antecubital fossa
Which artery is smaller, the radial artery or the ulnar artery?
The radial artery
Where does the radial artery supply blood to?
Supplies blood to the posterior forearm
Where does the ulnar artery supply blood to?
Supplies blood to the anterior forearm
Label 1-5
- Right subclavian
- Right axillary
- Right brachial
- Right radial
- Right ulnar
What branches of arteries does the thoracic descending aorta provide?
Provides the visceral and parital branches
Label 1&2
- Aortic arch
- Left border of the thoracic aorta
T/F
The abdominal aorta contains both visceral and parietal artery branches
True
What are the 6 arteries that come off of the abdominal aorta
- Inferior phrenic arteries
- Celiac trunk
- Superior mesenteric artery
- Renal arteries
- Gonadal arteries
- Inferior mesenteric artery
T/F
The right renal artery is longer
True
T/F
The renal vein is more anterior than the renal arteries
True
What part of the aorta does the celiac trunk come off of?
Comes off of the anterior part of the aorta
What 3 arteries does the celiac trunk branch into?
- Left gastric artery
- Splenic artery
- Common hepatic artery
What organs does the common hepatic artery supply blood to?
5
- Liver
- Gallbadder
- Stomach
- Pancreas
- Superior part of duodenum
What artery provides blood here?
- Spleen
- Pancreas
- Fundus
- Greater curvature of stomach
- Greater omentum
5
splenic artery
What artery supplies blood here?
- Lesser curvature of stomach
- Lesser omentum
Left gastric artery
What does the splenic artery divide into?
- Pancreatic arteries
- Left gastro-omental artery
- Short gastric artery
What arteries does the common hepatic artery branch into?
- Hepatic artery proper
- Right gastric artery
- Gastroduodenal artery
Label 1-6
- Superior mesenteric artery
- Common hepatic artery
- Celiac trunk
- Left gastric artery
- Splenic artery
- Inferior mesenteric artery
What artery is this?
Provides blood to the entire small intestine besides teh supeior part of the duodenum, and part of the large intestine up until the splenic artery
Superior mesenteric artery
What part of the aorta does the inferior mesenteric artery come off of?
Comes of off the anterior part of the aorta
What are the arteries that branch out from the inferior mesenteric artery?
- Left colic artery
- Sigmoid arteries
- Superior rectal artery
What does the the abdominal aorta branch into and at what level?
Abdominal aorta bifurcates at L4 to become the left and right common illiac arteries.
What does the common illiac artery branch into?
- Internal iliac A
- External iliac A
What does the External iliac A branch into?
Branches into the femoral artery
What does the femoral artery branch into?
Branches into the popliteal artery
What does the popliteal artery branch into?
- Anterior tibial artery
- Posteior tibial artery
What does the posterior tibial artery branch into?
Fibular artery
Label 1-3
- Right common iliac
- Right internal iliac
- Right external iliac
What is an anurisum?
The weakening and enlargment of the arteries which leads to increased intracranial pressure
What is the landmark of the femoral artery?
Inferior to the crease of the hip
T/F
Deoxygenated blood returns to the right atrium.
True
What are the 3 blood vessels that return blood to the right atrium?
- Coronary sinus
- SVC
- IVC
Where does the IVC recieve blood from?
The blood from all the veins below the diaphragm
What is the largest vein in the body?
The IVC
What are the 3 veins of the head and neck?
- Internal Jugular veins
- External jugular veins
- Vertebral veins
Where does the internal jugular vein exit the skull?
Exits the skull via the jugular foramen
Where does the external jugular veins and the vertebral veins drain into?
They drain directly into the subclavian vein
T/F
The internal and external jugular veins join prior the subclavian.
False; there is no common jugular vein and the internal and external jugular veins do not join.
Where do the vetebral veins travel though?
Travel through the cervical transverse foramina
Which vein drains blood from the C-spine, spinal cord, and the deep muscles of the neck?
The vertebral vein
Which vein drains blood from the scapl and skin of head, face and neck, and oral cavity?
The external jugular veins
Where does the internal jugular vein drain blood from?
The dural sinuses and deep veins within the brain
What makes up the brachiocephalic vein?
The subclavian vein and the internal jugular vein
What makes up the SVC?
The right brachiocephalic vein and the left brachiocephalic vein
Name the 6 venous sinuses by thier drainage pathway:
- Superior sagittal
- Inferior sagittal
- Straight
- Transverse
- Sigmoid
- Internal jugular vein
Where is the superior saggital and inferior saggital sinus located?
Located along the midsaggital plane through the top and the bottom of the falx cerebri
Label 1-6
- Inferior saggital sinus
- Superior saggital sinus
- Straight sinus
- Transverse sinus
- Sigmoid sinus
- Internal jugular vein
Label A-F
A. Vertebral vein
B. External jugular vein
C. Subclavian vein
D. Internal jugular vein
E. Axillary vein
F. Brachiocephalic vein
Label 1 and 2
- Right brachiocephalic vein
- Left brachiocephalic vein
Label 1-6
- Right verebral vein
- Right internal jugular
- Right external jugular
- Right subclavian
- Right axillary
- Right brachiocephallic
T/F
Superficial veins are larger and return most of the blood from the arms.
True
What type of veins have more valves; deep or superficial?
Deep veins have more valves
T/F
Superficial veins anastomse frequently with one another and with deep veins
True
Where does the radial and ulnar veins join together?
Just distal to the elbow joint
What makes up the axillary vein?
The union of the brachial and basilic vein
Where does the axillary vein become the subclavian vein?
At the lateral border of the 1st rib
What are the 3 superficial veins of the arm?
- Cephalic vein
- Basilic vein
- Median antebrachial
What side is the cephalic vein located on?
The lateral side
What side is the basilic vein located on?
The medial side
What superficial vein of the arm joins to the axillary vein?
The cephalic vein
What superficial vein of the arm joins to the brachial vein?
The basilic vein
What anatomy does the median antebrachial vein drain?
Drains the palm
What area is the antebrachial area?
The entire forearm
What does median mean?
Middle
What deep vein would be the best to insert a PICC line into? Why?
The brachial vein, because its straighter
Label 1-5
- Axillary
- Brachial vein
- Basilic
- Radial
- Ulnar
Label 1-9
- Axillary vein
- Basilic vein
- Median cubital vein
- Basilic
- Ulnar vein
- Cephalic vein
- Brachial vein
- Cephalic vein
- Radial vein
What is the preffered site for puncture or injection?
The median cubital vein/ antecubital vein
What is the median cubital vein?
The anastomoses between cephalic and basilic vein
Where does the Azygos vein join the SVC?
At T4
What are the 2 types of Azygos veins?
- Hemiazygos vein
- Accessory hemiazygos vein
Where does the acessory hemiazygos vein join the Azygos vein?
At T8
Where does the hemiazygos vein join the Azygos vein?
Joins Azygos vein at T9
Where does the acessory hemiazygos vein drain blood from?
From the left upper thorax
Where does the hemiazygos vein drain blood from?
Drains blood from the lower part of the thorax
Where does the Azygos vein drain blood from?
The right side of the thorax (intercostal veins)
Where do the veins of the abdomen drain into?
They drain into the IVC
T/F
The GI tract, spleen pancreas and gallbladder do not drain directly into the IVC
True
(from proximal to distal)
What are the 6 veins of the abdomen?
- Inferior phrenic veins
- Hepatic veins
- Lumbar veins
- Renal veins
- Gonadal veins
- Common illiac veins
What makes up the hepatic portal vein?
Superior mesenteric vein + Splenic vein
What does the Hepatic Portal Vein drain from?
The Liver sinusoids
What do the liver sinusoids drain from?
The hepatic veins
What do the hepatic portal veins drain into?
The IVC
T/F
The superficial veins are more prone to varicosities
True
T/F
Superficial veins have no skeletal pump
True
What side is the great saphenous vein on?
The medial vein
Where does the small saphenous vein empty into?
The popliteal veins
What does the great saphenous vein empty into?
Empties inot the femoral vein
What vein is used for coronary artery bypass grafting?
The great saphenous vein
What are the 2 superficial veins of the leg?
- Small saphenous vein
- Great saphenous vein
What does the posterior and anterior tibial veins drain into?
The popliteal vein
What does the popliteal vein drain into?
Drains into the femoral vein
What does the femoral vein drain into?
The external and internal illiac vein
What does the internal and external illiac vein drain into?
Drains into the common iliac
Are these superfical or deep veins?
- Common illiac
- External and internal iliac
- Femoral
- Popliteal
- Posterior and anterior tibial
Deep veins
What superficial veins are more prone to become variocosed? Why?
The saphenous veins due to lack of surrounding muscular support
1-9
- Common illiac
- External illiac
- Femoral
- Great saphenous
- Popliteal
- Small saphenous
- Anterior tibial
- Fibular
- Posterior tibal
What has happened to this patient?
The patient had the great saphenous vein taken out for bypass surgery