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Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery  Shingo Takahara, MD, Keisuke Kanda, MD, Satoshi Kawatsu,

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Presentation on theme: "Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery  Shingo Takahara, MD, Keisuke Kanda, MD, Satoshi Kawatsu,"— Presentation transcript:

1 Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery 
Shingo Takahara, MD, Keisuke Kanda, MD, Satoshi Kawatsu, MD, PhD, Ichiro Yoshioka, MD, PhD, Hidenori Fujiwara, MD, PhD, Osamu Adachi, MD, PhD, Masatoshi Akiyama, MD, PhD, Kiichiro Kumagai, MD, PhD, Shunsuke Kawamoto, MD, PhD, Hideki Ota, MD, PhD, Yoshikatsu Saiki, MD, PhD  The Annals of Thoracic Surgery  Volume 102, Issue 3, Pages e241-e243 (September 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative assessment of the Adamkiewicz artery (AKA) and its collateral arteries. (A) Magnetic resonance angiography demonstrates the AKA (arrows) that originates from the posterior branch of the left eighth intercostal artery (arrow heads) and anastomoses with the anterior spinal artery (chevrons). (B). Arrows and red lines indicate the collateral sources of the AKA. These arteries were considered at risk using the standard Stoney’s incision. The Annals of Thoracic Surgery  , e241-e243DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Skin incision line of the modified Stoney’s incision. Arrows indicate the thoracic part of incision following the anterior axillary line. The third to sixth left ribs were divided during surgery. The Annals of Thoracic Surgery  , e241-e243DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Postoperative 3-dimensional computed tomography demonstrating preservation of the collateral vessels supplying the Adamkiewicz artery (red and purple lines). The Annals of Thoracic Surgery  , e241-e243DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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