Late quadriplegia after adult coarctation repair.
Quadriplegia developed suddenly 1 month after coarctation repair in a 53-year-old human. Cervical cord ischemia caused by thrombosis in an enlarged anterior spinal artery collateral was diagnosed on magnetic resonance scan and spinal angiography. After urgent cord decompression and anticoagulation there was neurologic improvement over a period of several months. Urgent investigation of neurologic abnormalities occurring late after coarctation repair may enable intervention to avert permanent neurologic sequelae.
Peters
Paul
P
Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Camperdown, Sydney, Australia.
Brennan
Jeffrey W
JW
Hughes
Clifford F
CF
McGee-Collett
Martin
M
Parker
Geoffrey
G
D000792:Angiography; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D003097:Collateral Circulation; D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011782:Quadriplegia / Q000209:etiology* / Q000628:therapy; D020760:Spinal Cord Ischemia / Q000209:etiology*; D013927:Thrombosis / Q000150:complications