Pathology

Question 1

Left sided SVC, connections? DDx

Answer 1

Connects either directly to RA or via the coronary sinus, d/t persistence of the left cardinal vein. DDX duplicated SVC

Question 2

Most common visceral artery aneurysms occur

Answer 2

1. splenic A 2. hepatic artery. Tx when 2.5 cm

Question 3

Standings waves due to

Answer 3

Flow and pressure changes during contrast injection into a high resistance vascular bed.

Question 4

sclerosing cholangitis complications and tx

Answer 4

obliterative multifocal fibrosis with sacular dilation “beading” perc drainage palliative, needs liver transplant

Question 5

dissection post left subclavian classification

Answer 5

Stanford type B or DeBakey Type III

Question 6

narrowing of the celiac trunk, worse on inspir or expir

Answer 6

median arcuate ligament syndrome, expiration

Question 7

Primary vs secondary subclavian vein occlusion

Answer 7

Primary subclavian vein occlusion (this case) is
caused by thoracic outlet syndrome (Paget-Schroettersyndrome). Secondary subclavian vein occlusion is
currently most commonly the result of central
venous catheters and pacemakers.

Question 8

How often is renal FMD bilateral

Answer 8

2/3, mid to distal RA most common

Question 9

pulmonary avm, multiple

Answer 9

Hereditary hemorrhagic telangiectasia (HHT), whichis also known as Osler–Weber–Rendu syndrome.

Question 10

tx of pulm avm vs peripheral avm

Answer 10

pulmonary AVMs have a single feeding artery and asingle draining
vein, with an intervening thin-walledaneurysm, the goal of therapy is to eliminate arterialinflow. This is in contrast to peripheral (nonpulmonary)AVMs, in which the goal of therapy is to eliminate thenidus w

Question 11

Indication for tips

Answer 11

1. Intractable ascites, bleeding gastroesophageal varicesthat have failed endoscopic management, and
   refractory hepatic hydrothorax.

Question 12

Rasmussen’s aneurysm?

Answer 12

pulmonary artery branch aneurysm due totuberculosis.