Vascular Anatomy

Question 1

Femoral Triangle is comprised of which boundaries?
What does it contain?

Answer 1

Lateral: Sartorius
Medial: Adductor longus
Superior: Inguinal ligament

It contains the superficial femoral artery

Question 2

Name the boundaries of the femoral canal. Surgical significance

Answer 2

Anterior: inguinal ligament
Posterior: pectineal ligament
Lateral : femoral vein
Medial: lacunar ligament

It is where femoral hernias occur

Question 3

Name the tributaries of the femoral vein

Answer 3

Deep femoral vein
Great saphenous vein
Lateral circumflex vein
Medial cirucmfle vein

Question 4

Draw the branches of the celiac artery

Answer 4

Question 5

At what level does the SMA leave the aorta?

Answer 5

L1

Question 6

At what level does the inferior mesenteric artery leave the aorta?

Answer 6

L3

Question 7

Over what structures does the SMA pass before entering the root fo small intestinal mesentery?

Answer 7

Passes over the left renal artery
Beneath the splenic vein and neck of pancreas
Passes over the uncinate process of pancreas
Passes over D3 and D4

Question 8

In what peritoneal structure does the hepatic artery run? What is it’s relationship to the bile duct and portal vein?

Answer 8

Free edge of omentum
Lateral: bile duct
Medial: hepatic artery
Posterior: portal vein

Question 9

What is the ligament of Treitz?

Answer 9

Connects the duodeno-jejunal junction to the diaphragm

Question 10

Name the following branches of the abdominal aorta:

1) anterior branches
2) lateral branches
3) terminal branches
4) abdominal wall branches

Answer 10

1) celiac, SMA, IMA
2) suprarenal, renal, testicular/ovarian
3) common iliac, median sacral
4) inferior phrenic, four lumbar branches

Question 11

Why can IMA to ligated without serious consequence?

Answer 11

Collateral supply by the marginal artery of Drummond

Question 12

Where does the IVC commence?

Answer 12

At L5 behind the common iliac arteries

Question 13

Name the tributaries of the IVC

Answer 13

• *I**: Iliac
• *Like**: Lumbar
• *To:** Testicular
• *Rise**: Renal
• *So**: Suprarenal
• *High:** Hepatic

Question 14

What is May Thurner syndrome?

Answer 14

When left iliac vein is compressed by right common iliac artery against L5

Question 15

Tributaries of the long saphenous vein

Answer 15

Superficial epigastric vein

Superficial external pudendal vein

Deep external pudendal vein

Superficial circumflex iliac vein

Anterior femoral cutaneous vein

Posteromedial vein of thigh

Question 16

Tributaries of the femoral vein

Answer 16

Medial circumflex vein

Lateral circumflex vein

Long saphenous vein

Profunda femoris vein