OR, anatomy, cannnulation

Question 1

Hepatic Artery
*Common Hepatic Artery branches off the ________ and becomes __________
and then the __________ and ___________

Answer 1

Common Hepatic Artery
branches off Celiac Axis
Portal Vein becomes Proper Hepatic becomes Proper Hepatic, then Left and Right Left and Right
Hepatic)

Question 2

Hepatic Artery
Supplies liver with________
of blood and __________ of oxygen.

Answer 2

Supplies Liver with 25%
of Blood

Provides 50% of Oxygen

Question 3

Portal Vein formed from ________ +_______ and the _________ vein

Provides _______% 02

Answer 3

Formed from SMV + (IMV
and Splenic Vein)

Provides 50% of 02.

Question 4

Antegrade:

Answer 4

1. Performed in the normal direction of

flow.

Question 5

Retrograde:

Answer 5

1. Moving or tending backward.
2. Opposite to the usual order; inverted
   or reversed.

Question 6

Cardioplegia-

Answer 6

cannula

inserted into aortic root

Question 7

Pulmonplegia

(Antegrade)-

Answer 7

cannula
inserted into pulmonary
artery

Question 8

Pulmonoplegia

(Retrograde)-

Answer 8

cannula
inserted into common
cuff of left atrium
(containing pulmonary
veins)…after
cardiectomy

Question 9

Cardio-Pulmonary Isolation

1. Aorta (proximal ____) ____
   _________
2. SVC is ___________
3. Perfusion pressure _______ __________

Answer 9

1. Aorta (proximal to arch) is
clamped
2. SVC is ligated (Rommel or
Umbilical Tape)
3. Perfusion pressure forces
valves to close

Question 10

Thoracic Ventilation

IVC is__________

2. Left Atrial appendange is___________

Answer 10

IVC is transected
(cardioplegia)

2. Left Atrial
   appendange is
   transected
   (pulmonoplegia)

Question 11

Miscellaneous Prep- Thoracic
PGE (Prostaglandin)
Is a \_\_\_\_\_\_\_\_\_
and injected into \_\_\_\_\_\_\_\_\_\_

Answer 11

Vasodilator

Injected into PA

Question 12

Miscellaneous Prep- Thoracic
Caval Drain bypasses
_____________________

Answer 12

Caval Drain

Bypasses ventilation from thoracic cavity

Question 13

Heart Recovery- Cardiectomy
1.Pulmonary artery and pulmonary
veins are __________

Answer 13

Pulmonary artery and pulmonary

veins are transected

Question 14

Heart Recovery- Cardiectomy

3. SVC/ IVC are _________
4. -IVC is also __________

Answer 14

3. SVC/ IVC are transected

1. -IVC shared with liver

Question 15

Liver:
______ Lobes,
______ Segments
_______ Ligament

Answer 15

4 Lobes,
8 Segments
Falciform Ligament

Question 16

Aortic Flush
Abdominal aorta is
cannulated ______________

Answer 16

superior to
iliac bifurcation
(inferior to superior mesenteric artery SMA)

Question 17

Portal Flush

(inferior messenteric IMV + Splenic) + Superior MV=

Answer 17

Portal Vein

Question 18

From Superior to Inferior
\_\_\_\_\_\_\_\_\_ Axis:
\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_
Artery.
Iliac \_\_\_\_\_\_\_\_\_\_\_\_

Answer 18

Celiac Axis:

Superior Mesenteric
Artery:

Iliac Bifurcation:

Question 19

Celiac Axis:
1. \_\_\_\_\_ Gastric Artery
2.\_\_\_\_\_\_\_ Artery
3. Common \_\_\_\_\_\_\_\_
Artery

Answer 19

Celiac Axis:
1. Left Gastric Artery
2. Splenic Artery
3. Common Hepatic
Artery

Question 20

Iliac Bifurcation:

1. ________; ________

Answer 20

1. Common; Internal/

Question 21

Abdominal Isolation
Aorta is ligated
superior to_________
inferior to _________

Answer 21

Aorta is ligated
superior to iliac
bifurcation;
inferior to aortic
cannula

Question 22

Abdominal Isolation Cross Clamp placed across aorta
Inferior to __________;
above __________

Answer 22

inferior to
diaphragm; above
celiac axis