Intraoperative identification of major blood supply to Adamkiewicz artery after multistep surgeries in thoraco-abdominal aortic aneurysm repair

Ko Sakatsume, Satoshi Kawatsu, Osamu Adachi, Yoshikatsu Saiki

Research output: Contribution to journalArticlepeer-review

Abstract

Herein, we report a case of thoraco-abdominal aortic repair in a 55-year-old man with a multiple treatment history for aortic aneurysm and aortic dissection. A computed tomography scan revealed that the Adamkiewicz artery was connected to an occluded intercostal artery, suggesting that the left inferior epigastric artery was the key artery supplying the Adamkiewicz artery; the key artery was identified through direct monitoring of cerebrospinal fluid temperature and selective hypothermic perfusion. No spinal cord injury was detected during the postoperative period.

Original languageEnglish
Pages (from-to)656-658
Number of pages3
JournalInteractive cardiovascular and thoracic surgery
Volume30
Issue number4
DOIs
Publication statusPublished - 2020 Apr 1

Keywords

  • Adamkiewicz artery
  • Paraplegia
  • Spinal cord injury
  • Thoraco-abdominal aortic aneurysm

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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