Neuropathic pain syndrome as an occult manifestation of injury of the spinal cord after surgical repair of aortic coarctation.
Injury to the spinal cord injury with paraplegia, is a rare complication of surgical repair of aortic coarctation recognized immediately post-operatively. We present the case of a 41-year-old male undergoing surgery for restenosis at the site of a repair. Intra-operatively, he suffered inadvertent injury to an intercostal arterial branch during isolation of the aorta below the graft. Over the following months, he developed unusual symptoms involving the legs and genitourinary tract which, only after extensive investigations, were attributed to ischemic damage to the spinal cord related to the surgery. We suspect that similar syndromes reflecting injury to the spinal cord injury may be unrecognized following surgical repair of coarctation.
Beauchesne
L M
LM
Division of Cardiology, University of Ottawa, Canada.
Mailis
A
A
Webb
G D
GD
D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D001017:Aortic Coarctation / Q000601:surgery*; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D009460:Neurologic Examination; D010148:Intractable Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010149:Postoperative Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012008:Recurrence; D012086:Reoperation / Q000009:adverse effects; D020760:Spinal Cord Ischemia / Q000150:complications*; D014555:Urination Disorders / Q000175:diagnosis / Q000209:etiology*
D000701:Analgesics, Opioid