Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery

Shingo Takahara, Keisuke Kanda, Satoshi Kawatsu, Ichiro Yoshioka, Hidenori Fujiwara, Osamu Adachi, Masatoshi Akiyama, Kiichiro Kumagai, Shunsuke Kawamoto, Hideki Ota, Yoshikatsu Saiki

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of a 35-year-old male who underwent thoracoabdominal aortic repair of a chronic dissecting aortic aneurysm, Crawford extent II. Preoperative computed tomography showed thrombosis of almost all intercostal arteries. Precise diagnostic assessment demonstrated the Adamkiewicz artery originating from the left lateral thoracic artery and subscapular artery, which would have been at risk after using a standard Stoney's incision, thus potentially causing paraplegia or paraparesis due to spinal cord ischemia. We modified the lateral thoracic incision anteriorly and successfully preserved the collateral arteries without impairing the spinal cord function.

Original languageEnglish
Pages (from-to)e241-e243
JournalAnnals of Thoracic Surgery
Volume102
Issue number3
DOIs
Publication statusPublished - 2016 Sep 1

ASJC Scopus subject areas

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

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