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General Surgery
Great Vessels in the Abdomen
Built from Skandalakis' Surgical Anatomy: The Embryologic and Anatomic Basis of Modern Surgery
What’s inside
13 sections · 133 slides
Overview
- Scope of this topic
Abdominal aorta: development and anomalies
- Embryologic origin of the aorta
- Congenital anomalies of the abdominal aorta
- Coarctation versus Takayasu's arteritis
- The historical record of vascular anatomy
- Anatomic and Surgical History of the Vascular System
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
- Anatomic and Surgical History of the Vascular System (continued)
Topography and branches of the abdominal aorta
- Course and termination of the abdominal aorta
- Surface anatomy of the abdominal aorta
- Calibre of the aorta from hiatus to bifurcation
- Relations of the aorta at the diaphragm
- Diaphragmatic openings for the cava, oesophagus and aorta
- Diaphragmatic apertures seen from below
- Muscular attachments of the diaphragm from below
- Collateral branches of the aorta in three planes
- Aortic branches arranged by the planes they occupy
- The three vascular planes in cross-section
- Terminal branches: the common iliac arteries
- Iliac anatomy in endovascular aneurysm repair
Celiac axis
- Origin of the celiac trunk
- Van Damme's bifurcation model of the celiac trunk
- When there is no celiac trunk
- Patterns of division of the celiac trunk
- Celiacomesenteric trunk
- Origin of anomalous hepatic arteries
Superior mesenteric artery
- Relations of the superior mesenteric artery
- Branches of the superior mesenteric artery
- Collaterals of the superior mesenteric artery
- Zonal classification of the SMA circulation
- Superior Mesenteric Artery Injury Classification by Ischemic Extent
- Superior Mesenteric Artery Injury Classification by Anatomy
- Superior mesenteric artery aneurysm
Inferior mesenteric artery
- Course and branches of the inferior mesenteric artery
- The colosigmoid vessel
- Inferior mesenteric artery branches and levels of division
Blood supply of the spinal cord
- Principles of spinal cord arterial supply
- Posterior spinal and radicular arteries
- Anterior and posterior spinal arteries
- Distribution of a lumbar or intercostal artery
- Arteria radicularis magna of Adamkiewicz
- Cord infarction after injury to the great radicular artery
- Blood supply of the spinal cord with the main radicular arteries
- Anterior and posterior radiculo-medullary branches
- Territories of the anterior and posterior systems
- Claudication of the cauda equina
Collateral arterial circulation
- Levels of visceral arterial collateralisation
- The visceral collateral network
- Celiac axis branches and collateral flow to the SMA
- Arc of Buhler
- Collateral circulation between the SMA and IMA territories
- Marginal artery of Drummond and arc of Riolan
- Frequency of normal and variant visceral arterial anatomy
- Normal and Variant Vascular Anatomy
- Normal and Variant Vascular Anatomy (continued)
- Normal and Variant Vascular Anatomy (continued)
Median arcuate ligament and the aortic hiatus
- Structures at the aortic hiatus
- Formation of the median arcuate ligament
- Celiac artery compression syndrome
- Cause and treatment of median arcuate ligament syndrome
- The ligament in hiatal hernia repair
Aortic nerve plexuses and neighbouring structures
- The celiac plexus
- Celiac plexus, celiac ganglia and adrenal glands
- Preaortic, inferior mesenteric and hypogastric plexuses
- Aortic relations that fail: vertebrae, sac and stomach
- Aortic relations: pancreas, splenic vein and colon
- Aortic relations: duodenum and mesenteric root
- Aortic relations: veins and lymph nodes
Aortic wall and aneurysm surgery
- Layers of the aortic wall
- The vascular endothelium
- Epidemiology and thresholds in aortic aneurysm
- Rupture pathways and acute aortic occlusion
- Transabdominal approach to the aorta
- Retroperitoneal approach to the aorta
- Intestinal ischaemia after aortoiliac surgery
- Distribution of Mesenteric Infarction as Defined at Laparotomy or at Autopsy in 21 Patients
- Endoleak after endovascular aneurysm repair
Inferior vena cava
- Development of the inferior vena cava
- Stages in the development of the inferior vena cava
- Classification of caval anomalies
- Absence, duplication and preureteric cava
- Anomalies of the Inferior Vena Cava
- Single left-sided inferior vena cava
- Reported frequency of caval abnormalities
- Frequency of Abnormalities of Inferior Vena Cava (IVC)
- Frequency of Abnormalities of Inferior Vena Cava (IVC) (continued)
- Behaviour of the common caval variants
- Course and dimensions of the inferior vena cava
- Relations of the inferior vena cava at the diaphragm
- Anomalous double inferior vena cava
- Relations of the inferior vena cava to neighbouring vessels
- Tributaries of the inferior vena cava
- The inferior vena cava and its tributaries
- Measurements of the inferior vena cava
- Aorta and cava as neighbours
- Iliocaval junction and left iliac vein compression
- Collateral venous pathways of the cava
- Limits of caval ligation
- Histology and function of the caval wall
- Inferior vena cava filters
- Devices for partial interruption of the inferior vena cava
- Surgical approaches for interruption of the inferior vena cava
- The main portal vein and cavo-portal shunting
- Compression of the retrohepatic inferior vena cava
- Caval involvement by renal cell carcinoma
Summary
- Key points on the abdominal aorta
- Key points on the inferior vena cava
- Sources cited in the text
- Sources cited in the text (continued)
- Sources cited in the text (continued)
- Sources cited in the text (continued)
- Skandalakis' Surgical Anatomy: The Embryologic and Anatomic Basis of Modern Surgery
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