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CC BY 4.0 · Aorta (Stamford) 2020; 08(06): 175-177
DOI: 10.1055/s-0040-1721748
Case Report

Collateral Formation from Left Lateral Thoracic Artery to the Adamkiewicz Artery

Toshihiro Fukui
1   Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan
,
Jun Takaki
1   Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan
,
Ken Okamoto
1   Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan
› Author Affiliations Funding None.
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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.

Keywords

Adamkiewicz artery - collateral - thoracoabdominal aortic aneurysm


Publication History

Received: 13 February 2020

Accepted: 30 September 2020

Article published online:
24 March 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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