Paraplegia following intraaortic balloon assistance.
In a patient receiving intraaortic balloon counterpulsation following myocardial revascularization, paraplegia developed two days post-operatively. Postmortem examination demonstrated a dissecting hematoma of the thoracic aorta and spinal cord infarction. The neurological deficit is thought to be due to embarrassment of spinal cord blood supply, and mechanisms of injury are discussed.
D058186:Acute Kidney Injury / Q000150:complications / Q000473:pathology; D001013:Aorta, Thoracic / Q000473:pathology; D001243:Assisted Circulation / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D006406:Hematoma / Q000209:etiology / Q000473:pathology; D006801:Humans; D007238:Infarction / Q000209:etiology; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D013116:Spinal Cord / Q000098:blood supply / Q000473:pathology