A modified technique for preventing spinal cord ischemia during type II thoracoabdominal aneurysm repair

Ann Thorac Surg. 2009 Jul;88(1):265-7. doi: 10.1016/j.athoracsur.2008.09.016.

Abstract

A 51-year-old man required replacement of the thoracoabdominal aorta due to a type II thoracoabdominal aortic aneurysm. We tailored and plicated the aortic aneurysm to make a closed tube. All of the intercostal arteries and lumbar arteries were reimplanted using a closed tube constructed with an aneurysmoplasty to the main aortic graft, using this tube to protect the spinal cord. The closed tube maintained blood flow to the intercostal and lumbar arteries, and no neurologic deficits developed.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortography
  • Blood Flow Velocity
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / methods*
  • Blood Vessel Prosthesis*
  • Collateral Circulation / physiology
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Monitoring, Intraoperative / methods
  • Prosthesis Design
  • Risk Assessment
  • Severity of Illness Index
  • Spinal Cord Ischemia / prevention & control*
  • Treatment Outcome
  • Vascular Patency / physiology