• Users Online: 1600
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Contacts Login 
CASE REPORT
Year : 2016  |  Volume : 36  |  Issue : 6  |  Page : 249-252

Unilateral low extremity paraplegia after thoracic endovascular aortic repair for aortic arch aneurysm


1 Department of Surgery, National Defense Medical Center, Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei; Department of Surgery, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan, Republic of China
2 Department of Surgery, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan, Republic of China
3 Department of Surgery, National Defense Medical Center, Division of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan, Republic of China

Correspondence Address:
Chih-Yuan Lin
Department of Surgery, National Defense Medical Center, Division of Cardiovascular Surgery, Tri-Service General Hospital, No. 325, Section 2, Cheng-Kung Road, Nei-Hu 114, Taipei, Taiwan
Republic of China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.196378

Rights and Permissions

Spinal cord ischemic injury and consequently permanent paraplegia remain the most devastating complications after open and endovascular thoracic or thoracoabdominal aortic aneurysm repair. Hemodynamic stability, which depends on a network of blood vessels around the cord, is most important not only during but also after stent-graft deployment to prevent spinal cord injury. Despite the use of various strategies to prevent spinal cord ischemia, including aggressive revascularization of the subclavian artery and cerebrospinal fluid drainage, this condition remains inevitable and difficult to predict before an operation. We present a rare case of a patient who presented with unilateral paraplegia that developed after thoracic endovascular aortic repair for aortic arch aneurysm and our subsequent salvage strategy.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1851    
    Printed20    
    Emailed0    
    PDF Downloaded92    
    Comments [Add]    

Recommend this journal