| Circulation of the spinal cord: an important consideration for thoracic surgeons. | |
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MedLine Citation:
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PMID: 12842576 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mohammed F Shamji; Donna E Maziak; Farid M Shamji; Robert J Ginsberg; Ron Pon |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 76 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-07-04 Completed Date: 2003-10-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 315-21 Citation Subset: AIM; IM |
Affiliation:
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Division of Thoracic Surgery, The Ottawa Hospital, General Campus, Ottawa, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angiography Aorta, Thoracic / pathology, surgery* Female Humans Iatrogenic Disease* Intraoperative Complications / diagnosis Lung Neoplasms / pathology, surgery* Male Middle Aged Prognosis Regional Blood Flow Risk Assessment Sampling Studies Spinal Cord / blood supply Spinal Cord Ischemia / diagnosis, etiology*, surgery Thoracic Surgery / standards, trends Thoracic Surgical Procedures / adverse effects, methods Thoracotomy / adverse effects*, methods Vascular Neoplasms / secondary, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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