Coincidence of spinal canal stenosis and thoracoabdominal aortic aneurysm.
We report a case in which a thoracoabdominal aneurysm was present in association with previously unknown critical spinal canal stenosis. In spite of using left heart bypass, systemic hypothermia, and controlled cerebrospinal fluid drainage for spinal cord protection, the patient developed paraplegia following aortic aneurysm repair. Computed tomography scan revealed critical stenosis of the spinal canal that was thought to be sufficient to produce spinal cord compression syndromes including paraplegia.
James
Justin
J
Cardiothoracic Surgery, The Cardiothoracic Centre, Thomas drive, Liverpool L14 3PE, United Kingdom. drjustinjamesj@yahoo.co.uk
Kuduvalli
Manoj
M
Lu
John Y
JY
Rashid
Abbas
A
D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000000981:diagnostic imaging / Q000209:etiology*; D012307:Risk Factors; D013117:Spinal Cord Compression / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D020760:Spinal Cord Ischemia / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D013130:Spinal Stenosis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome