title: Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature.
abstract: 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.
authors: General Surgery Department, Watford General Hospital, Watford, Hertfordshire, UK. mfarouksurg@hotmail.co.uk
authors: Mohamed Farouk
authors: MF
authors: Abdelhamid
authors: Belinda
authors: B
authors: Sandler
authors: Reda William
authors: RW
authors: Awad
mesh_terms: 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*
references: Surgery. 1978 Jan;83(1):38-56
references: 619471
references: Am Heart J. 1948 Mar;35(3):369-92
references: 18903663
references: Am J Surg. 1991 Aug;162(2):131-6
references: 1862833
references: J Vasc Surg. 1986 Jan;3(1):94-103
references: 3941486