title: Reversal of renal failure and paraplegia after thoracoabdominal aneurysm repair.
abstract: Repair of ruptured thoracoabdominal aortic aneurysms is complicated by high rates of perioperative paraplegia, renal insufficiency, and mortality. This report describes a patient with a ruptured thoracoabdominal aortic aneurysm in whom preoperative acute renal failure was reversed with hemodialysis, aortic replacement, and renal revascularization. Prompt cerebrospinal fluid drainage reversed delayed-onset postoperative paraplegia and led to immediate, complete neurologic recovery.
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, The University of Iowa Hospitals and Clinics, Iowa City 52242-1062, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Widmann
authors.forename: A
authors.initials: A
authors.lastname: DeLucia
authors.forename: J
authors.initials: J
authors.lastname: Sharp
authors.forename: W E
authors.initials: WE
authors.lastname: Richenbacher
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy*; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D010264:Paraplegia / Q000209:etiology / Q000628:therapy*; D011093:Polyethylene Terephthalates; D012077:Renal Artery / Q000601:surgery; D012078:Renal Artery Obstruction / Q000601:surgery; D006435:Renal Dialysis; D013117:Spinal Cord Compression / Q000628:therapy; D015996:Survival Rate
chemical_list: D011093:Polyethylene Terephthalates