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Ann Thorac Surg 2003;76:1308
© 2003 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

MDCT scan visualizes the Adamkiewicz artery

Ryushi Maruyama, MD, PhDa, Tamotsu Kamishima, MDb, Norihiko Shiiya, MD, PhD*a, Takeshi Asano, MD, PhDb, Kenji Matsuzaki, MDa, Kazuo Miyasaka, MD, PhDb, Keishu Yasuda, MD, PhDa

a Department of Cardiovascular Surgery, Hokkaido, Japan
b Department of Radiology, Hokkaido University School of Medicine, Hokkaido, Japan

* Address reprint requests to Dr Shiiya, Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
e-mail: shiyanor@med.hokudai.ac.jp

The first 20% of the full text of this article appears below.

Ischemic spinal cord injury is a serious complication after surgical repair of descending thoracic or thoracoabdominal aortic aneurysm. The Adamkiewicz artery (arteria radicularis magna [ARM]) is well known as a main feeder of the spinal cord. It originates from a segment of the intercostal or lumbar artery. The anatomical information of the ARM is important in conducting surgical strategy and may reduce the risk of postoperative neurologic deficit. To detect the ARM, selective angiography and magnetic resonance angiography have . . . [Full Text of this Article]




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