Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm

Autor: Hyo Jun Kim, Hyung Sub Park, Chang Sik Shin, Jae S. Cho, Taeseung Lee
Jazyk: English<br />Korean
Rok vydání: 2020
Předmět:
Zdroj: Vascular Specialist International, Vol 36, Iss 4, Pp 248-251 (2020)
Druh dokumentu: article
ISSN: 2288-7970
DOI: 10.5758/vsi.200078
Popis: Spinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is an unpredictable and devastating complication. We present a case report of a patient who developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearold man presented with asymptomatic 5.5-cm suprarenal AAA, for which he underwent open repair under general anesthesia. The paraplegia was identified 6 hours after the operation. Postoperative magnetic resonance imaging showed T2 signal hyperintensity and swelling of the spinal cord, which were consistent findings with subacute spinal cord infarction. Although intravenous steroid was administered and lumbar cerebral spinal fluid drainage was instituted, his neurological outcome did not improve. He was discharged after vigorous rehabilitation but still has paraplegia and requires wheelchair for ambulation.
Databáze: Directory of Open Access Journals