Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature.
A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumbosacral plexopathy is uncommon because the plexus has a rich blood supply. The incidence of ischaemic lumbosacral plexopathy is higher with re-operative and emergency AAA reconstruction. This may predispose the lumbosacral plexus to ischaemic injury. Consideration should be given to maintaining retrograde perfusion of the internal iliac artery.
Abdelhamid
Mohamed Farouk
MF
General Surgery Department, Watford General Hospital, Watford, Hertfordshire, UK. mfarouksurg@hotmail.co.uk
Sandler
Belinda
B
Awad
Reda William
RW
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004638:Emergency Treatment; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D033162:Incidental Findings; D007511:Ischemia / Q000209:etiology*; D008160:Lumbosacral Plexus / Q000098:blood supply*; D008297:Male; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*
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