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从左胸廓内动脉到Adamkiewicz动脉的侧支形成。

Collateral Formation from Left Lateral Thoracic Artery to the Adamkiewicz Artery.

作者信息

Fukui Toshihiro, Takaki Jun, Okamoto Ken

机构信息

Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.

出版信息

Aorta (Stamford). 2020 Dec;8(6):175-177. doi: 10.1055/s-0040-1721748. Epub 2021 Mar 24.

DOI:10.1055/s-0040-1721748
PMID:33761561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043810/
Abstract

A 68-year-old man who had undergone descending thoracic aortic replacement was referred to our hospital with a thoracoabdominal aortic aneurysm. During the original surgery, the Adamkiewicz artery was directly reconstructed. However, multidetector row computed tomography showed occlusion of the reconstructed artery at its orifice, with supply by a collateral vessel from the left lateral thoracic artery. With careful incision to avoid damage to the collateral vessel, no postoperative neurological deficit was observed.

摘要

一名68岁男性，曾接受降主动脉置换术，因胸腹主动脉瘤转诊至我院。在初次手术中，Adamkiewicz动脉被直接重建。然而，多排螺旋计算机断层扫描显示重建动脉在其开口处闭塞，由来自左胸外侧动脉的侧支血管供血。通过小心切开以避免损伤侧支血管，术后未观察到神经功能缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f4/8043810/eecaeca67cbd/10-1055-s-0040-1721748-i200007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f4/8043810/ad4dbca07c0d/10-1055-s-0040-1721748-i200007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f4/8043810/eecaeca67cbd/10-1055-s-0040-1721748-i200007-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f4/8043810/ad4dbca07c0d/10-1055-s-0040-1721748-i200007-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f4/8043810/eecaeca67cbd/10-1055-s-0040-1721748-i200007-2.jpg

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Front Neurol. 2021 Oct 26;12:761006. doi: 10.3389/fneur.2021.761006. eCollection 2021.

本文引用的文献

1
Systematic evaluation of collateral pathways to the artery of Adamkiewicz using computed tomography.采用计算机断层扫描对 Adamkiewicz 动脉侧支通路进行系统评估。
Eur J Cardiothorac Surg. 2018 Jul 1;54(1):19-25. doi: 10.1093/ejcts/ezx509.
2
The impact of preoperative identification of the Adamkiewicz artery on descending and thoracoabdominal aortic repair.术前识别Adamkiewicz动脉对降主动脉和胸腹主动脉修复的影响。
J Thorac Cardiovasc Surg. 2016 Jan;151(1):122-8. doi: 10.1016/j.jtcvs.2015.07.079. Epub 2015 Jul 29.
3
The collateral network concept: a reassessment of the anatomy of spinal cord perfusion.
侧支网络概念：对脊髓灌注解剖结构的再评估。
J Thorac Cardiovasc Surg. 2011 Apr;141(4):1020-8. doi: 10.1016/j.jtcvs.2010.06.023.
4
Preoperative visualization of the artery of Adamkiewicz by intra-arterial CT angiography.通过动脉内CT血管造影术对Adamkiewicz动脉进行术前可视化。
AJNR Am J Neuroradiol. 2008 Feb;29(2):314-8. doi: 10.3174/ajnr.A0812. Epub 2007 Nov 1.