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Chirurgia 2007 October;20(5):281-2

language: English

Spinal cord protection during descending aortic aneurysm surgery. Transient subclavian - Adamkiewicz arterial bypass

Hirata N., Amemiya A., Hatsuoka S., Ueno T.

Division of Cardiovascular Surgery Takarazuka Municipal Hospital Kohama, Takarazuka, Hyogo, Japan


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In the replacement of the lower portion of the descending thoracic aorta, the unsolved enigma is postoperative paraplegia. As ischemic time becomes shorter, a greater level of protection for spinal cord ischemia is obtained.
A transient bypass from the left subclavian artery to the intercostal arteries, which was speculated to be the Adamkiewicz artery, enables a significant reduction of ischemic time of the spinal cord during replacement of the descending aortic aneurysm. Herein we introduce our new method of spinal cord protection.

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