Paraplegia following the emergency surgical repair of a nonruptured symptomatic abdominal aortic aneurysm: report of a case.
This report presents an extremely rare case of paraplegia following emergency surgery for a nonruptured symptomatic abdominal aortic aneurysm. A 62-year-old man underwent an emergency surgical repair for a symptomatic nonruptured infrarenal abdominal aortic aneurysm. On postoperative day 2 paraplegia following spinal cord ischemia occurred at the T8 level. The site of the ischemia was situated too high for clamping to have caused this condition, unless the patient had a congenital anomaly in the blood supply to the spinal cord or it had been caused by the previously occluded great radicular artery, which was maintained by the collateral blood supply from the iliac circulation.
Tochii
Masato
M
Department of Cardiovascular Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
Takagi
Yasushi
Y
Hoshino
Ryo
R
Yamashita
Mitsuru
M
Sato
Masato
M
Kaneko
Kan
K
Ishida
Michiko
M
Watanabe
Toru
T
Akita
Kiyotoshi
K
Kondo
Hiroshi
H
Higuchi
Yoshiro
Y
Watanabe
Takashi
T
Ando
Motomi
M
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D013116:Spinal Cord / Q000098:blood supply*; D020760:Spinal Cord Ischemia / Q000209:etiology*