Simple Identification of the Adamkiewicz Artery in Extended Thoracoabdominal Aortic Aneurysm Repair

Ann Thorac Surg. 2017 Jun;103(6):e567-e569. doi: 10.1016/j.athoracsur.2016.12.047.

Abstract

Spinal cord injury remains a major adverse event of extended thoracic and thoracoabdominal aortic surgical procedures. Preoperative identification of the Adamkiewicz artery and prompt reattachment of the targeted intercostal arteries during operation should contribute to preventing spinal cord injury. In this report, we describe a simple and definite identification of the critical intercostal artery during extended descending and thoracoabdominal aortic surgical procedures.

MeSH terms

  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Aneurysm, Thoracic / surgery*
  • Arteries / anatomy & histology*
  • Arteries / diagnostic imaging
  • Humans
  • Image Processing, Computer-Assisted
  • Spinal Cord / anatomy & histology
  • Spinal Cord / blood supply*
  • Spinal Cord Injuries / prevention & control*
  • Vascular Surgical Procedures