Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27549554.
- Also identified by DOI 10.1016/j.athoracsur.2016.01.102.
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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.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Intraoperative Complications
- Thoracic Arteries
- Vascular Malformations
- Vascular Surgical Procedures