Collateral Formation from Left Lateral Thoracic Artery to the Adamkiewicz Artery

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.

Keywords

Adamkiewicz artery - collateral - thoracoabdominal aortic aneurysm

Publication History

Received: 13 February 2020

Accepted: 30 September 2020

Article published online:
24 March 2021

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