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Ultrasound (Fall)
Ch 5. The abdominal Aorta
69
Medical
Professional
09/17/2009

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Cards

Term
Where is the Aorta located?
Definition
The aorta is retroperitoneal structure that courses superior to inferior along the left side of the IVC
Term
Where does the aorta originate from?
Definition
Aorta originates from the heart at the left ventricular
Term
As the aorta passes posteriorly to the diaphragm, it is known as the _________ aorta
Definition
Abdominal
Term
Which is the first branch of aorta and where does it branch from
Definition
Celiac Trunk branches anteriorly from the aorta
Term
Celiac Axis is also known as
Definition
celiac artery or celiac trunk
Term
What are the 3 vessels that branch off the celiac axis
Definition

Common Hepatic artery

Splenic artery

Left gastric artery

Term
Left Gastric artery courses __________ and to the ________ and doubles back to supply the ______ side of the lesser curvature of the stomach
Definition
superior/left/left
Term
Where does the splenic artery course?
Definition
Splenic artery courses horizontally to the left with a slight inferior to superior angulation
Term
Splenic artery supplies blood to
Definition
Spleen, Pancreas, and the left side of the greater curvature of the stomach
Term
Which is the tortuous vessel in our body?
Definition
splenic artery
Term
Common Hepatic artery courses
Definition
horizontally to the right and branches into the gastroduodenal artery and the proper hepatic arery
Term
The proper hepatic artery is divided into
Definition

Right Hepatic Artery

Left Hepatic Artery

Term
The right hepatic artery branches into the  _______ artery and feeds the __________
Definition
cystic/ GB
Term
The Gastroduodenal artery courses _________
Definition
inferiorly
Term
Gastroduodenal artery supplies blood to -
Definition
right side of the greater curvature of the stomach and the pancreatic duodenal area
Term
Suprarenal arteries is also known as
Definition
adrenal arteries
Term
Which vessel originates from the lateral aspec of the aorta from the level of the celiac axis?
Definition
Suprarenal arteries
Term
Suprarenal arteries course horizontally to the
Definition
adrenal glands
Term
What is the 1st branch off the aorta seen with ultrasound?
Definition
Celiac axis or trunk or artery
Term
What vessel originates from the celiac axis and is very tortuous
Definition
Splenic artery
Term
What is the name of the artery that comes off the celiac axis and is not usually seen with ultrasound?
Definition
left gastric artery
Term
What vessel is on the anterior border of the pancreas?
Definition
splenic artery
Term
What are the 2 branches of the common hepatic artery?
Definition

Gastroduodenal artery

Proper Hepatic artery

Term
Which vascular structure arises from the celiac trunk and passes anterior to the main portal vein to enter the liver at the porta hepatis?
Definition
common hepatic artery
Term
What's another name for the adrenal arteries?
Definition
suprarenal arteries
Term
Which artery branches few centimeters inferior to the Celiac axis?
Definition
SMA
Term
Where does the SMA course?
Definition
It courses anterior and inferior and divides into several arteries that supply the largest portion of the small intestine and the ascending colon and part of the transverse colon
Term
Which arteries branches few centimeters inferior and lateral from the SMA
Definition
Renal Arteries
Term
Renal Arteries course _________ and supply blood to the ___________
Definition

horizontally

kidneys

Term
Which renal artery has a longer course? and why?
Definition
The right renal artery has a longer course than the left renal artery because the aorta sits on the left side which forces the RRA to travel a greater distance.
Term
The RRA courses ________ to the IVC in order to reach the right kidney
Definition
posterior
Term
The _______ _______ ________ is the only vessel that courses posterior to the IVC
Definition
Right renal artery
Term
Which vessel is inferior to the SMA and renal arteries and originates anterior to the aorta?
Definition
Gonadal arteries
Term
Gonadal arteries course _________ to their respective organs
Definition
inferiorly
Term
The male gonadal arteries are termed __________ arteries and the female gonadal arteries are termed _________ arteries
Definition
testicular / ovarian
Term
Which artery originates from the anterior of the aorta and courses anteriorly and inferiorly supplying the transverse colon, descending colon and rectum?
Definition
Inferior Mesenteric Artery
Term
What vessel courses between the SMA and the  aorta?
Definition
Left renal vein
Term
The renal arteries are best seen on what scan plan?
Definition
Transverse
Term
What is the relationship of the SMA to the celiac axis?
Definition
inferior
Term
What 2 main anatomy structures do the SMA and IMA feed?
Definition
intestines and colon
Term
What is the name of the most inferior artery that branches off the aorta?
Definition
Median sacral artery
Term
The size of the arota shouldn't exceed ______ at all level
Definition
3 cms
Term
The arota courses ________, and it __________ in size
Definition
inferiorly / decreases
Term
What is the best method to decrease observer variation when measuring the arota?
Definition
Take the AP measurement in the sagittal plane
Term
What are the 3 layers of aorta?
Definition

Tunica intima

Tunica media

Tunica adventitia

Term
Why does arteries have thicker tunica media than veins?
Definition
To allow greater elasticity
Term
What is the primary function of the aorta?
Definition
is to channel blood to organs and tissues to ensure oxygenation and metabolism
Term
How is the blood pressure in the arteries maintained?
Definition
As the ventricles contract during systole, blood is quickly sent into the aorta which forces the expansion of the vessel wall. When the aortic valve in the heart closes and diastole ensures, the arterial wall recoils o release stored energy. The recoiling of the wall forces the blood to continue its forward movement and therefore blood pressure is maintained
Term
Sonographic appearance of arterial vasculature -
Definition
should normally display an anechoic center with echogenic walls that clearly delineate it from adjacent structures
Term
Larger vessels will display significant
Definition
pulsatility
Term
The aorta is  a tubular, highly _________ structure slightly ________ and to the ______ of the spine
Definition
pulsatile, anterior left
Term
Describe the proximal portion of the aorta
Definition
The proximal portion is usually a curvilinear structure as it courses from posterior to anterior after piercing the diaphragm
Term
Describe the mid and distal portion of the aorta
Definition
The aorta continues anteriorly until it bifurcates with the mid and distal portion of the aorta displaying a more linear configuration than the proximal portion
Term
Which branch of the aorta is seen in the transverse plane and slightly superior to the pancreas
Definition
Celiac axis
Term
This branch of the aorta branches anteriorly from the aorta and displays the characteristic shape of the seagull
Definition
celiac axis
Term
The celiac axis branches off to form the _________ and _________ artery representing the wings of the seagull
Definition
splenic and common hepatic artery
Term
This branch is identified in the sagittal plane as a linear structure branching anteriorly from the aorta and inferior to the CA
Definition
SMA
Term
This branch of the aorta courses posteriorly to the pancreas
Definition
SMA
Term
This branch of the aorta is identified in the transverse plane as a circular, anechoic structure surrounded by echogenic parapancreatic fat directly posterior to the splenic vein
Definition
SMA
Term
This branch is most easily seen in the transverse plane as a small diameter curvilinear structures branching laterally from the aorta
Definition
Renal arteries
Term
Which renal artery is difficult to identify sagittally?
Definition
LRA but the RRA can usually be identified sagittally as it is directly posterior to the IVC
Term
Which vessel in the aorta is not consistently demonstrated with ultrasound
Definition
IMA
Term
The aorta bifurcates into the __________ _______ ________ at the level of the _________ and is most easily demonstrated in the __________ plane
Definition
common iliac artery / umbilicus / transverse
Term
The aorta and its branches are primarily evaluated to detect __________ and ________
Definition
aneurysms and stenosis
Term
What can aid to identify stenosis in the aorta?
Definition
Doppler
Term
What is the seagull sign?
Definition
Common Hepatic artery and splenic artery in a transverse scan plane that represent the wings of the seagull
Term
What is the echogenic material seen surrounding the SMA in a transverse scan plane that helps to identify it?
Definition
Parapancreatic fat
Term
Which renal artery is longer and why?
Definition
The right renal artery because it has to travel further than the left renal artery to get to the kidney
Term
What is the only branch off the aorta that lies posterior to the IVC?
Definition
Right renal artery
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