Does the adamkiewicz artery originate from the larger segmental arteries? Tokuo Koshino, MDa, Gen Murakami, MDb, Kiyofumi Morishita, MDa, Tohru Mawatari,

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Presentation transcript:

Does the adamkiewicz artery originate from the larger segmental arteries? Tokuo Koshino, MDa, Gen Murakami, MDb, Kiyofumi Morishita, MDa, Tohru Mawatari, MDa, Tomio Abe, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 117, Issue 5, Pages 898-905 (May 1999) DOI: 10.1016/S0022-5223(99)70369-7 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 Photograph shows the connection of the Adamiewicz artery and the medial dorsal branch of the ICA originated from the ICA as a single stem and then divided separately. The medial dorsal branch of the ICA runs posteriorly to supply blood to the back muscles. Adam, Adamkiewicz artery; ICA, intercostal artery; ICN, intercostal nerve; MD, medial dorsal branch of the ICA; LD, lateral dorsal branch of the ICA; SG, spinal ganglion; DM, dura mater. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 898-905DOI: (10.1016/S0022-5223(99)70369-7) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 Relationship of the vertebral level in cadaver in which 2 Adamkiewicz arteries (Adam ) were observed. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 898-905DOI: (10.1016/S0022-5223(99)70369-7) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 Frequency of vertebral level termination and laterality of 120 Adamkiewicz arteries in 90 cadavers. The Adamkiewicz artery frequently originated from ICA/LA between the eighth thoracic and first lumbar vertebral level on the left side. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 898-905DOI: (10.1016/S0022-5223(99)70369-7) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 4 Correlation between the diameter of the Adamkiewicz artery and of the ICA/LA, which existed between the fifth thoracic and second lumbar vertebral level. No significant correlation was observed between them. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 898-905DOI: (10.1016/S0022-5223(99)70369-7) Copyright © 1999 Mosby, Inc. Terms and Conditions