Ischemic damage to the spinal cord following end-to-side aortobifemoral bypass.
A patient presenting with urinary retention was found to have progressive spinal cord ischemia subsequent to an end-to-side aortobifemoral bypass for atherosclerotic disease. This serves as a vivid reminder of the possibility of this complication even in ischemic disease and that urinary retention may be the initial symptom of cord ischemia. A review of the literature on spinal cord ischemia following abdominal aortic surgery is presented.
Gorecki
J P
JP
Division of Vascular Surgery, Wellesley Hospital, University of Toronto, Ontario, Canada.
Ameli
F M
FM
D000714:Anastomosis, Surgical / Q000009:adverse effects; D001012:Aorta, Abdominal / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013116:Spinal Cord / Q000098:blood supply*; D016055:Urinary Retention / Q000209:etiology