Delayed paraplegia 10 months after endovascular repair of thoracic aortic aneurysm.
Spinal cord ischemia after treatment of thoracic pathologies remains a devastating problem. A 74-year-old man with a history of infrarenal abdominal aortic aneurysm repair presented with bilateral common iliac and left femoral aneurysms as well as a thoracic aortic aneurysm. He underwent an open repair of the iliac and femoral aneurysms, followed by thoracic endovascular aneurysm repair in a staged manner without complications. Ten months later, he presented with hypotension, and permanent paraplegia developed.
Cho
Jae-Sung
JS
Division of Vascular Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15241, USA. chojs@upmc.edu
Rhee
Robert Y
RY
Makaroun
Michel S
MS
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010264:Paraplegia / Q000209:etiology* / Q000534:rehabilitation; D020760:Spinal Cord Ischemia / Q000150:complications* / Q000209:etiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome