Reversal of renal failure and paraplegia after thoracoabdominal aneurysm repair.
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.
Widmann
M D
MD
Division of Cardiothoracic and Vascular Surgery, The University of Iowa Hospitals and Clinics, Iowa City 52242-1062, USA.
DeLucia
A
A
Sharp
J
J
Richenbacher
W E
WE
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
D011093:Polyethylene Terephthalates