title: Delayed postoperative paraplegia and graft infection after a thoracoabdominal dissection.
abstract: WE REPORT THE SUCCESSFUL TREATMENT OF THORACOABDOMINAL DISSECTION, WHICH EXTENDED INTO THE LEFT ILIAC ARTERY, DESPITE TWO INDEPENDENT COMPLICATIONS: graft infection and a relatively rare, delayed postoperative paraplegia. The paraplegia suddenly occurred on postoperative day 10, and after an intravenous infusion of heparin and methylprednisolone, it gradually subsided. Moreover, graft infection was diagnosed on postoperative day 27, and with continuous irrigation of antibiotic treatment it was cured without recurrence of infection. Although anticoagulation therapy is not indicated for paraplegia, we suppose that it might be used as an adjunct therapeutic.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Tottori Prefectural Central Hospital, Tottori, Tottori, Japan.
authors.forename: Kengo
authors.initials: K
authors.lastname: Nishimura
authors.forename: Azumi
authors.initials: A
authors.lastname: Matsumura
authors.forename: Shigeto
authors.initials: S
authors.lastname: Miyasaka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Maeta
authors.forename: Keisuke
authors.initials: K
authors.lastname: Morimoto
authors.forename: Iwao
authors.initials: I
authors.lastname: Taniguchi
keywords: delayed postoperative paraplegia; graft infection; thoracoabdominal dissection
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