title: Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm.
abstract: Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same patient. This highlights the importance of vigilant clinical assessments, efficient multidisciplinary teamwork, and maintenance of the determinants of spinal cord perfusion following endovascular thoracic aortic intervention.
authors: Libin Cardiovascular Institute of Alberta, Division of Cardiac Surgery, University of Calgary, Calgary, Alberta, Canada.
authors: J J
authors: JJ
authors: Appoo
authors: H D
authors: HD
authors: Gregory
authors: H D
authors: HD
authors: Toeg
authors: C A
authors: CA
authors: Prusinkiewicz
authors: W D T
authors: WD
authors: Kent
authors: A
authors: A
authors: Ferland
authors: D V
authors: DV
authors: Ha
keywords: anesthesia; aneurysm; endovascular aortic repair; spinal cord ischemia; spinal cord paraplegia; vascular surgery