Intraoperative identification of major blood supply to Adamkiewicz artery after multistep surgeries in thoraco-abdominal aortic aneurysm repair. (23rd January 2020)

• Record Type: Journal Article
• Authors: Sakatsume, Ko; Kawatsu, Satoshi; Adachi, Osamu; Saiki, Yoshikatsu
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 30:Number 4(2020)
• Page Start: 656
• Page End: 658
• Publication Date: 2020-01-23
• Subjects: Thoraco-abdominal aortic aneurysm -- Adamkiewicz artery -- Spinal cord injury -- Paraplegia; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivz308
• Languages: English
• ISSNs: 1569-9293

Abstract

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.