title: Spinal cord injury after ascending aorta and aortic arch replacement combined with antegrade stent grafting: role of postoperative cerebrospinal fluid drainage.
abstract: Ascending aorta and aortic arch replacement combined with antegrade stent grafting of the descending thoracic aorta represents an emerging hybrid surgical approach for complex and extensive thoracic aortic disease. We present a case of a patient at low risk for spinal cord ischemia who underwent hybrid thoracic aortic surgery (aortic arch replacement and E-vita prosthesis implantation) and developed a spinal cord injury (SCI) after the intervention. Treatment aimed at increasing spinal cord perfusion pressure with the aid of cerebrospinal fluid (CSF) drainage was effective in recovering neuromuscular function.
authors.affiliation: Heart and Vessels Department, Cardio-Vascular Anesthesia and Post-Surgical Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy. stefano-romagnoli@hotmail.com
authors.forename: Stefano
authors.initials: S
authors.lastname: Romagnoli
authors.forename: Zaccaria
authors.initials: Z
authors.lastname: Ricci
authors.forename: Fulvio
authors.initials: F
authors.lastname: Pinelli
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Stefàno
authors.forename: Alessandra
authors.initials: A
authors.lastname: Rossi
authors.forename: Sergio
authors.initials: S
authors.lastname: Bevilacqua
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000209:etiology; D011183:Postoperative Complications; D013118:Spinal Cord Diseases / Q000209:etiology*; D015607:Stents