[Paraplegia associated with acute aortic dissection complicated with pulmonary embolism and re-dissection].
Paraplegia associated with acute aortic dissection is one of the most serious complications. We experienced a case of Stanford type A acute aortic dissection with paraplegia and cardiac tamponade because the dissection was already thrombosed, conservative therapy was chosen. After drainage of pericardial effusion, a spinal drainage tube was inserted. Eleven days later, pulmonary embolism and re-dissection occurred, and an emergency operation was performed. Although the operation was successful, paraplegia did not improve. Even if type A acute aortic dissection is complicated with paraplegia, early surgical repair of aortic dissection should be considered, when paraplegia does not improve rapidly in spite of treatment.
Murakami
H
H
Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Makuuchi
H
H
Chikada
M
M
Kobayashi
T
T
Suzuki
T
T
Ando
T
T
Oono
M
M
Ono
H
H
Chiba
K
K
Nagata
T
T
D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D011655:Pulmonary Embolism / Q000150:complications* / Q000601:surgery; D012008:Recurrence