ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Donna E. Maziak
Robert J. Ginsberg
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shamji, M. F.
Right arrow Articles by Pon, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shamji, M. F.
Right arrow Articles by Pon, R.
Related Collections
Right arrow Cerebral protection

Ann Thorac Surg 2003;76:315-321
© 2003 The Society of Thoracic Surgeons

Review

Circulation of the spinal cord: an important consideration for thoracic surgeons

Mohammed F. Shamji, BS, MSa, Donna E. Maziak, FRCSC, FACSa*, Farid M. Shamji, FRCSC, FACSa, Robert J. Ginsberg, MD, FRCSCb, Ron Pon, MD, FACSc

a Division of Thoracic Surgery, The Ottawa Hospital, General Campus, Ottawa, Ontario, Canada
b Division of Thoracic Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
c Division of Thoracic Surgery, Yale University Medical Centre, New Haven, Connecticut, USA

* Address reprint requests to Dr Maziak, The Ottawa Hospital, General Campus, 501 Smyth Road, 6NW-6354, Ottawa, ON K1H 8L6, Canada
e-mail: dmaziak{at}ohri.ca

The spinal cord has significant thoracic arterial watershed areas rendering it vulnerable to intraoperative ischemic damage, clearly mandating a need for postoperative neurologic monitoring. Mechanisms of hypoperfusion include aortic cross-clamping, rib retraction, intercostal artery interruption, and costovertebral junction bleeding. We report cases of primary lung cancer resection, resection of pulmonary metastasis adherent to the thoracic aorta, resection of cartilaginous tumor with chest wall invasion, and esophagomyotomy for achalasia—all complicated by postoperative paraplegia. We review spinal cord circulation, describe mechanisms and patterns of neurologic dysfunction of susceptible watershed areas, and outline roles of preoperative spinal angiography and intraoperative evoked potentials.




This article has been cited by other articles:


Home page
 Canadian J. AnesthesiaHome page
A. Raz, A. Avramovich, E. Saraf-Lavi, M. Saute, and L. A. Eidelman
Spinal cord ischemia following thoracotomy without epidural anesthesia: [Ischemie de la moelle epiniere a la suite d'une thoracotomie sans anesthesie peridurale].
Can J Anesth, June 1, 2006; 53(6): 551 - 555.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Flores, T. Kunihara, N. Shiiya, K. Yoshimoto, K. Matsuzaki, and K. Yasuda
Extensive deployment of the stented elephant trunk is associated with an increased risk of spinal cord injury
J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 336 - 342.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
J. F. Bruzzi, M. Remy-Jardin, D. Delhaye, A. Teisseire, C. Khalil, and J. Remy
Multi-Detector Row CT of Hemoptysis
RadioGraphics, January 1, 2006; 26(1): 3 - 22.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.