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

研究成果: Article査読

抄録

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.

本文言語English
ページ(範囲)e241-e243
ジャーナルAnnals of Thoracic Surgery
102
3
DOI
出版ステータスPublished - 2016 9 1

ASJC Scopus subject areas

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

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