title: Acute onset of paraplegia after repair of abdominal aortic aneurysm in a patient with acute type B aortic dissection.
abstract: We report a rare complication of acute onset paraplegia after repair of an abdominal aortic aneurysm in a patient with acute type B aortic dissection. A 53-year-old man, suffering from abdominal aortic aneurysm (AAA), was admitted to our hospital with type IIIB acute aortic dissection. Ten days after admission, emergency Y-grafting was performed for impending rupture of the AAA. Twenty hours after Y-grafting, weakness of his lower extremities developed and progressed to paraplegia. Enhanced computed tomography scan revealed expansion of a thrombosed false lumen at the thoracoabdominal aorta, resulting in complete obstruction of the true lumen below the infra-renal aorta. Immediate axillobifemoral bypass was performed to prevent lower limb ischemia. Voluntary movement recovered gradually in both legs and eventually the patient could walk independently.
authors.affiliation: Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Tsutsumi
authors.forename: Osamu
authors.initials: O
authors.lastname: Monta
authors.forename: Keitaro
authors.initials: K
authors.lastname: Kohshi
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Ohashi
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome