Document Detail


Repair of a ruptured aortic arch aneurysm complicated by postoperative paraplegia: report of a case.
MedLine Citation:
PMID:  8680125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report herein the rare case of a 79-year-old man who suffered permanent paraplegia after undergoing an otherwise successful total arch replacement for a ruptured aortic arch aneurysm. During cardiopulmonary bypass, perfusion to the distal aorta was maintained from the femoral artery, and postoperative aortography showed intact tributaries from the aorta including the intercostal arteries. Postoperative paraplegia is an extremely rare complication of operations on the aortic arch; however, we speculate that the paraplegia in this patient could be attributed either to a steal phenomenon involving the radicular artery, or to the anatomical particularity of the spinal cord artery described by Cole and Gutelius as the "segmental system".
Authors:
T Hadama; Y Mori; O Shigemitsu; T Kimura; S Miyamoto; H Sako; T Soeda; T Yoshimatsu; Y Uchida
Related Documents :
15661945 - Right-to-left shunt evaluated at the aortic arch by contrast-enhanced transesophageal e...
18155005 - Dual guidewire placement to enhance arch vessel origin identification: a simple techniq...
10513135 - Simultaneous repair of arch and abdominal aortic aneurysms. a simple new technique usin...
19097965 - Clinical value of application of cerebral oximetry in total replacement of the aortic a...
9860445 - Fatal intraoperative pulmonary embolism from a hepatic hydatid cyst.
2766755 - Paradoxical elevation of pulmonary vascular resistance after nifedipine in primary pulm...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  26     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1996  
Date Detail:
Created Date:  1996-08-20     Completed Date:  1996-08-20     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Oita Medical University, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Thoracic / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortic Rupture / radiography,  surgery*
Aortography
Blood Vessel Prosthesis
Humans
Ischemia / etiology,  radiography
Male
Paraplegia / etiology*,  radiography
Postoperative Complications / etiology*,  radiography
Spinal Cord / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Periosteal chondroma developing in a rib at the side of a chest wall wound from a previous thoracoto...
Next Document:  Successful treatment of bronchial mucoepidermoid carcinoma in an 11-year-old boy by bronchoplasty: r...