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AN5.1-8 | General features of the cardiovascular system — Glossary

End artery
Terminal artery with no anastomotic connections; occlusion causes infarction of the supplied territory (e.g., central artery of the retina)
Functional end artery
Artery with insufficient anastomotic connections to prevent infarction during acute occlusion (e.g., coronary arteries)
Windkessel function
Property of elastic arteries to stretch during systole and recoil during diastole, converting pulsatile flow to continuous flow
Portal system
Venous system beginning and ending in capillaries without passing through the heart; carries substances directly between two organs
Portal hypertension
Raised portal venous pressure (>12 mmHg) usually from cirrhosis; causes varices, ascites, splenomegaly, and caput medusae
Porto-systemic anastomosis
Communication between portal and systemic venous systems at four sites; enlarges in portal hypertension
Ductus arteriosus
Fetal shunt connecting the pulmonary trunk to the descending aorta, bypassing the non-functional lungs; closes at birth to become the ligamentum arteriosum
Foramen ovale
Opening in the fetal interatrial septum allowing oxygenated blood to pass from right to left atrium; closes at birth due to pressure reversal
Ductus venosus
Fetal shunt connecting the umbilical vein to the IVC, bypassing the liver; closes at birth to become the ligamentum venosum
Thoracic duct
Largest lymphatic vessel draining everything except the right arm, right thorax, and right head/neck; empties at the left venous angle
Cisterna chyli
Lymphatic sac at L1-L2 receiving the lumbar and intestinal lymph trunks; the beginning of the thoracic duct
Varicose veins
Dilated tortuous superficial veins from valve failure in perforating veins allowing retrograde flow from deep to superficial system
Great saphenous vein
Longest vein in the body; runs medially from the foot to the saphenofemoral junction; used for coronary bypass grafts and IV access
Venae comitantes
Paired veins flanking an artery in the limbs; arterial pulsation aids venous return by compressing these adjacent veins
Collateral circulation
Alternative vascular pathway that develops to bypass an occluded vessel; best when occlusion is slow and progressive
Circle of Willis
Arterial anastomotic ring at the base of the brain connecting the anterior and posterior circulations; berry aneurysms form at its junctions
Caput medusae
Dilated paraumbilical veins radiating from the umbilicus in portal hypertension; named after Medusa's snake hair
Virchow's node
Left supraclavicular lymph node; Troisier's sign — enlargement suggests metastatic gastric or abdominal malignancy via the thoracic duct
Eisenmenger syndrome
Reversal of a left-to-right shunt to right-to-left due to pulmonary hypertension; causes cyanosis and is irreversible
Lymphatic filariasis
Wuchereria bancrofti infection blocking lymphatic drainage; most common cause of secondary lymphoedema in India
Arteriogenesis
Development and enlargement of pre-existing collateral arterioles into functional collateral vessels around an arterial occlusion