Abstract
A 68-year-old man who had undergone descending thoracic aortic replacement was referred to our hospital with a thoracoabdominal aortic aneurysm. During the original surgery, the Adamkiewicz artery was directly reconstructed. However, multidetector row computed tomography showed occlusion of the reconstructed artery at its orifice, with supply by a collateral vessel from the left lateral thoracic artery. With careful incision to avoid damage to the collateral vessel, no postoperative neurological deficit was observed.
Highlights
Spinal cord ischemia (SCI) is a critical complication of a postoperative thoracoabdominal aortic aneurysm (TAAA)
The Adamkiewicz artery (AKA) was supplied by a collateral vessel from the left lateral thoracic artery that was clearly visualized by computed tomography (CT)
Collateral from Lateral Thoracic Artery to AKA Fukui et al 177 artery, while the lateral thoracic artery was not detected as a collateral artery to AKA
Summary
Spinal cord ischemia (SCI) is a critical complication of a postoperative thoracoabdominal aortic aneurysm (TAAA). Keywords ► Adamkiewicz artery ► collateral ► thoracoabdominal aortic aneurysm Multidetector row computed tomography showed occlusion of the reconstructed artery at its orifice, with supply by a collateral vessel from the left lateral thoracic artery.
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