Simple Identification of the Adamkiewicz Artery in Extended Thoracoabdominal Aortic Aneurysm Repair Kyokun Uehara, MD, PhD, Hitoshi Matsuda, MD, PhD,

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Simple Identification of the Adamkiewicz Artery in Extended Thoracoabdominal Aortic Aneurysm Repair Kyokun Uehara, MD, PhD, Hitoshi Matsuda, MD, PhD, Yosuke Inoue, MD, Atsushi Omura, MD, PhD, Yoshimasa Seike, MD, Hiroaki Sasaki, MD, PhD, Kenji Minatoya, MD, PhD, Junjiro Kobayashi, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 6, Pages e567-e569 (June 2017) DOI: 10.1016/j.athoracsur.2016.12.047 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Measuring the distance between the left renal artery (lt RA) and the intercostal artery—Adamkiewicz artery (AKA). (CA = celiac artery; SMA = superior mesenteric artery.) The Annals of Thoracic Surgery 2017 103, e567-e569DOI: (10.1016/j.athoracsur.2016.12.047) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Tape measure showing the same distance from the left renal artery (lt RA) as determined by preoperative computed tomographic angiography. (AKA = Adamkiewicz artery; ICA = intercostal artery.) The Annals of Thoracic Surgery 2017 103, e567-e569DOI: (10.1016/j.athoracsur.2016.12.047) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Reconstruction of intercostal artery—Adamkiewicz artery (ICA-AKA) and the adjacent ICA. Visceal arteries and abdominal aorta were also replaced. The Annals of Thoracic Surgery 2017 103, e567-e569DOI: (10.1016/j.athoracsur.2016.12.047) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions