Complications arising after thoracic aortic surgery: a case report on an unusual spinal cord infarction. Physiopathological and clinical considerations.
Even though new prevention techniques have been developed and are being used during thoraco-abdominal aortic repairs, spinal cord infarction remains a severe and relatively frequent complication of aortic surgery. Infarctions in the territory of the anterior spinal artery are considered the most common. Different clinical pictures related to spinal cord transverse extension wounds are drawn up. In this paper, we present a case report of a subject having presented an isolated motor deficit of the lower limbs and a favorable prognosis, suggesting selective involvement of the anterior horns of the spinal cord subsequent to surgical repair of an aortic dissection. We wish to review the relevant anatomical, clinical and diagnostic characteristics along with current techniques of spinal cord ischemia prevention during and after surgery.
Service de MPR, pôle neurosciences cliniques, CHU de Bordeaux, groupe Pellegrin, EA 4136, université Bordeaux-Segalen, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
S
S
Duc
C
C
Delleci
L
L
Barandon
A
A
Nozeres
E
E
Cugy
M
M
Barat
P
P
Dehail
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D020335:Paraparesis / Q000209:etiology* / Q000534:rehabilitation; D011183:Postoperative Complications; D013116:Spinal Cord / Q000098:blood supply*