Abstract:
:A patient undergoing radical extrapleural pneumonectomy for epithelioid malignant mesothelioma developed acute paraplegia postoperatively related to long-segment spinal cord ischemia. The usual area of concern for this complication is the T9 to T12 area where the artery of Adamkiewicz is most likely to originate. In this patient, there was ligation of only upper thoracic, ipsilateral segmental arteries from the T3 to T6 level, yet he still developed paraplegia. Our hypothesis is variant mid-thoracic vascular anatomy. Previously unreported, to our knowledge, this should be understood as a rare complication of this surgery.
journal_name
Chestjournal_title
Chestauthors
Ural K,Jakob K,Lato S,Gilly G,Landreneau Rdoi
10.1378/chest.13-3062subject
Has Abstractpub_date
2014-08-01 00:00:00pages
e38-e40issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(15)48845-2journal_volume
146pub_type
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