Answer to Jugular of a Juggler
Correct answer is D. The IVC is indicated by line 4, the SVC is indicated by 5. Note the position of the hearts which allows you to reach these results.
A transjugular intrahepatic portosystemic shunt (TIPS) is a procedure that involves inserting a stent (tube) to connect the portal veins to adjacent blood vessels that have lower pressure. This relieves the pressure of blood flowing through the diseased liver and can help stop bleeding and fluid back ups. The stent is initially placed into the internal jugular vein, then driven to the right brachiocephalic vein, superior vena cava, right atrium, inferior vena cava, and the hepatic veins. Once in the liver, the stent is driven to the portal vein. You will learn more about this latter vein in the abdomen region.
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Answer to this question is based on material presented in lectures 12 of the Thorax Lecture Series.
= Pulmonary trunk
= Ascending aorta
= Left, inferior, pulmonary vein
= IVC
= SVC