Delayed postoperative paraplegia complicating repair of type A dissection.
We describe the very rare event of delayed transient paraplegia after repair of type A dissection of the aorta and discuss therapeutic options. We also suggest insertion of a spinal catheter as soon as there are signs or symptoms of spinal cord injury to drain spinal fluid and maximize the effect of elevated spinal cord perfusion pressure.
Medalion
B
B
Department of Cardiothoracic Surgery, The E. Wolfson Medical Center, Holon, Israel. bmedalion@yahoo.com
Bder
O
O
Cohen
A J
AJ
Hauptman
E
E
Schachner
A
A
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D020760:Spinal Cord Ischemia / Q000601:surgery / Q000628:therapy; D013129:Spinal Puncture; D014057:Tomography, X-Ray Computed