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

doi:10.1016/j.athoracsur.2016.01.102

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

Tohoku University

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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 language	English
Pages (from-to)	e241-e243
Journal	Annals of Thoracic Surgery
Volume	102
Issue number	3
DOIs	https://doi.org/10.1016/j.athoracsur.2016.01.102
Publication status	Published - 2016 Sept 1

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title = "Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery",

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.",

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

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AU - Takahara, Shingo

AU - Kanda, Keisuke

AU - Kawatsu, Satoshi

AU - Yoshioka, Ichiro

AU - Fujiwara, Hidenori

AU - Adachi, Osamu

AU - Akiyama, Masatoshi

AU - Kumagai, Kiichiro

AU - Kawamoto, Shunsuke

AU - Ota, Hideki

AU - Saiki, Yoshikatsu

PY - 2016/9/1

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N2 - 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.

AB - 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.

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

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