(BQ) Part 1 book "Surgical recall" presentation of content: Pediatric surery, thoracic surery, neurosurery, neurosurery, tneurosurery, orthopaedic surery, surical pathonomonic microvinettes, omplications microvinettes, blood microvinettes, medical treatments of surical dianoses,. | Chapter / ascular 66 V Surgery 515 Axillofemoral bypass gra —gra not in a normal vascular path; usually, the gra goes from the axillary artery to the femoral artery and then from one femoral artery to the other (fem-fem bypass) What is an endovascular repair? Placement of a stent proximal and distal to an AAA through a distant percutaneous access (usually through the groin); less invasive; long-term results as good as open 2 0' fr h What is an extra-anatomic bypass gra ? CLASSIC INTRAOP QUESTIONS DURING AAA REPAIR Which vein crosses the neck of the AAA proximally? Renal vein (le ) What part of the small bowel crosses in front of the AAA? Duodenum Which large vein runs to the le of the AAA? IMV Which artery comes o the middle of the AAA and runs to the le ? IMA Which vein runs behind the RIGHT common iliac artery? LEFT common iliac vein Which renal vein is longer? Le WhiteKnightLove 516 Section / II General Surgery MESENTERIC ISCHEMIA Chronic Mesenteric Ischemia What is it? Chronic intestinal ischemia from long-term occlusion of the intestinal arteries; most commonly results from atherosclerosis; usually in two or more arteries because of the extensive collaterals What are the symptoms? Weight loss, postprandial abdominal pain, anxiety/fear of food because of postprandial pain, heme occult, diarrhea/vomiting What is “intestinal angina”? Postprandial pain from gut ischemia What are the signs? Abdominal bruit is commonly heard How is the diagnosis made? A-gram, duplex, MRA What supplies blood to the gut? 1. Celiac axis vessels 2. SMA 3. IMA What is the classic nding on A-gram? wo of the three mesenteric arteries are occluded, and there is atherosclerotic narrowing of the third patent artery What are the treatment options? Bypass, endarterectomy, angioplasty, stenting Acute Mesenteric Ischemia What is it? Acute onset of intestinal ischemia What are the causes? 1. Emboli to a mesenteric vessel from the heart 2. Acute .
