A modified technique for preventing spinal cord ischemia during type II thoracoabdominal aneurysm repair.
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.
Her
Keun
K
Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Gyeonggi-do, Republic of Korea.
Choi
Changwoo
C
Lee
Jaewook
J
Shin
Hwakyun
H
Won
Yongsoon
Y
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001783:Blood Flow Velocity; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D003097:Collateral Circulation / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D011474:Prosthesis Design; D018570:Risk Assessment; D012720:Severity of Illness Index; D020760:Spinal Cord Ischemia / Q000517:prevention & control*; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology