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Ann Thorac Surg 2009;88:265-267. doi:10.1016/j.athoracsur.2008.09.016
© 2009 The Society of Thoracic Surgeons
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Keun Her
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Case Reports

A Modified Technique for Preventing Spinal Cord Ischemia During Type II Thoracoabdominal Aneurysm Repair

Keun Her, MD, ChangWoo Choi, MD, JaeWook Lee, MD, HwaKyun Shin, MD, YongSoon Won, MD*

Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Gyeonggi-do, Republic of Korea

Accepted for publication September 3, 2008.

* Address correspondence to Dr Won, Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, 1174 Jung dong, Wonmi-gu, Bucheon-si, Gyeonggi-do, 420-767, Republic of Korea (Email: hkleh{at}naver.com).

A 51-year-old man required replacement of the thoracoabdominal aorta due to a type II thoracoabdominal aortic aneurysm. We tailored and plicated the aortic aneurysm to make a closed tube. All of the intercostal arteries and lumbar arteries were reimplanted using a closed tube constructed with an aneurysmoplasty to the main aortic graft, using this tube to protect the spinal cord. The closed tube maintained blood flow to the intercostal and lumbar arteries, and no neurologic deficits developed.






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