Late neurological recovery of paraplegia after endovascular repair of an infected thoracic aortic aneurysm Barend M.E. Mees, MD, PhD, Frederico Bastos.

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Late neurological recovery of paraplegia after endovascular repair of an infected thoracic aortic aneurysm Barend M.E. Mees, MD, PhD, Frederico Bastos Gonçalves, MD, Peter J. Koudstaal, MD, PhD, Hence J.M. Verhagen, MD, PhD Journal of Vascular Surgery Volume 57, Issue 2, Pages 521-524 (February 2013) DOI: 10.1016/j.jvs.2012.08.066 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomographic (CT) angiogram showing a 6.5-cm aneurysm of the descending thoracic aorta with a sickle-shaped bulge containing rupture (arrow) and a 4.5-cm abdominal aortic aneurysm. Journal of Vascular Surgery 2013 57, 521-524DOI: (10.1016/j.jvs.2012.08.066) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Preoperative and postoperative computed tomographic (CT) angiograms showing the position of significant intercostal arteries at the T11-T12 level (arrows) covered by the stent graft. Five of seven pairs (on preoperative CT angiography) of intercostal arteries in the descending aorta were covered, including the large pair shown, which is the largest and located in the classic position of the artery of Adamkiewicz. One pair of lumbar arteries at the visceral aortic segment and four pairs at the infrarenal aorta were not covered and remained patent. The left subclavian and vertebral artery, the inferior mesenteric artery, and both hypogastric arteries with numerous collaterals all were patent. Journal of Vascular Surgery 2013 57, 521-524DOI: (10.1016/j.jvs.2012.08.066) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Magnetic resonance imaging of the spinal cord showing spinal cord atrophy with significant narrowing at the T9 level (arrow). Journal of Vascular Surgery 2013 57, 521-524DOI: (10.1016/j.jvs.2012.08.066) Copyright © 2013 Society for Vascular Surgery Terms and Conditions