Spinal cord ischemia following elective aortoiliac reconstruction.
Spinal cord ischemia following abdominal aortic procedures is a rare complication. It occurs most commonly after operations for ruptured abdominal aortic aneurysms but has also been reported secondary to operations for aortoiliac occlusive disease. A 67-year-old man suffered spinal cord infarction following a routine, uncomplicated aortofemoral bypass. Although generally considered a rare and unpredictable complication of aortoiliac reconstruction, measures are discussed which might have prevented its occurrence in this case, and may further reduce its incidence in the future.
Friedman
S G
SG
North Shore University Hospital, Division of Vascular Surgery, Manhasset, New York.
Moccio
C G
CG
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery; D007511:Ischemia / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D013116:Spinal Cord / Q000098:blood supply*