title: Reversal of paralysis and visceral ischemia after thoracic aortic ligation for infection via extra anatomic ascending aorta to infarenal aorta bypass graft.
abstract: Surgical management of acute aortic infection is challenging, including excision of the infected segment and reconstruction either through extra-anatomical bypass or in situ graft replacement with higher risk of re-infection. Here in, we present a case of delayed paralysis developed after an extra-anatomic (axillary-bifemoral) bypass of infected thoracic aorta in a 51 year old Caucasian male. Reversal of paralysis was successfully achieved via larger extra-anatomical ascending aorta to infra-renal aorta bypass and cerebrospinal fluid (CSF) drainage.
authors.forename: Hamdy
authors.initials: H
authors.lastname: Awad
authors.forename: Haytham
authors.initials: H
authors.lastname: Elgharably
authors.forename: Lamia
authors.initials: L
authors.lastname: Buohliqah
authors.forename: Galina T
authors.initials: GT
authors.lastname: Dimitrova
authors.forename: Michael R
authors.initials: MR
authors.lastname: Go
mesh_terms: D001011:Aorta / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007239:Infections / Q000601:surgery*; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D013116:Spinal Cord / Q000098:blood supply