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Aorta Anatomy
Question | Answer |
---|---|
tunica intima | innermost layer; slick waterproof lining of endothelial tissue |
tunica adventitia | outermost layer; fibrous tissue that maintains shape |
tunica media | middle layer; smooth muscle allowing expansion & contraction to maintain BP |
lumen | hole within a vessel |
4 parts of the aorta are: | ascending, aortic arch, descending, & abdominal |
first aortic branch | brachiocephalic/innominate artery; further divides into right common carotid & right subclavian arteries |
second aortic branch | left common carotid artery |
third aortic branch | left subclavian artery |
location of aorta | retroperitoneal, to the left of the spine, & tapers distally |
5 major branches of aorta are: | celiac artery/axis, superior mesenteric artery, right & left renal arteries & inferior mesenteric artery |
minor branches of the aorta are: | gonadal, suprarenal, lumbar, & phrenic |
normal aortic measurements | proximal: 2cm distal: 1.5cm Never over 3cm |
normal common iliac measurements | 1.5cm in men; 1.3cm in women NEVER over 2cm |
celiac artery (only seen in transverse) arises: | anteriorly & branches into splenic, left gastric & hepatic arteries |
hepatic artery branches into: | cystic, left hepatic & gastroduodenal arteries |
gastroduodenal artery arises from: | the common hepatic artery & courses inferiorly |
SMA (superior mesenteric artery) arises: | anteriorly & travels parallel to the aorta |
SMA provides blood supply to: | small intestines, colon, & pancreatic head |
gastroduodenal artery provides blood supply to: | distal stomach & proximal duodenum |
IMA (Inferior Mesenteric Artery) arises: | just above the aortic bifurcation & courses inferiorly to the left |
IMA provides blood supply to: | large intestines, colon & rectum |
Renal arteries (seen in transverse) arise: | laterally off the aorta |
Right renal artery passes: | behind the IVC |
Left renal artery arises: | slightly higher than the right |
gonadal arteries arise: | inferior to the SMA & renal arteries & course inferiorly |
the aorta bifurcates into: | left & right common iliac arteries at the level of the umbilicus |
the common iliac arteries further divide into: | internal & external iliac arteries |
the coronary arteries arise from: | the ascending aorta just above the valve (coronary ostia) |
Normal variants of aorta branches: | multiple renal arteries, replaced right hepatic artery, & common trunk of SMA & celiac artery |