Spinal cord ischemia after simultaneous and sequential treatment of multilevel aortic disease Gabriele Piffaretti, MD, PhD, Stefano Bonardelli, MD, Raffaello.

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Spinal cord ischemia after simultaneous and sequential treatment of multilevel aortic disease Gabriele Piffaretti, MD, PhD, Stefano Bonardelli, MD, Raffaello Bellosta, MD, Giovanni Mariscalco, MD, PhD, Chiara Lomazzi, MD, Jip L. Tolenaar, MD, Camilla Zanotti, MD, Cristina Guadrini, MD, Antonio Sarcina, MD, Patrizio Castelli, MD, FACS, Santi Trimarchi, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 4, Pages 1435-1442.e1 (October 2014) DOI: 10.1016/j.jtcvs.2014.02.062 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Combinations of aortic pathologies that were treated for multilevel aortic repair. AAA, Abdominal aortic aneurysm; ADA, abdominal dissecting aneurysm; DTA, thoracic dissecting aneurysm; PAU, penetrating atherosclerotic ulcer; PAU-A, abdominal penetrating aortic ulcer; PAU-T, thoracic penetrating aortic ulcer; TAA, thoracic aortic aneurysm. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1435-1442.e1DOI: (10.1016/j.jtcvs.2014.02.062) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Preliminary CT-angiography (A) showing the simultaneous extent type C thoracic aortic aneurysm and infrarenal aortic aneurysm. Follow-up CT-angiography (B) after total endovascular treatment. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1435-1442.e1DOI: (10.1016/j.jtcvs.2014.02.062) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Probability of SCI occurrence in relation to the distance of the distal neck from celiac trunk and type of abdominal aortic repair. EVAR, Endovascular repair; SCI, spinal cord injury. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1435-1442.e1DOI: (10.1016/j.jtcvs.2014.02.062) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Kaplan-Meier estimates of survival. SCI, Spinal cord injury. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1435-1442.e1DOI: (10.1016/j.jtcvs.2014.02.062) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions