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    
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".
T Hadama; Y Mori; O Shigemitsu; T Kimura; S Miyamoto; H Sako; T Soeda; T Yoshimatsu; Y Uchida
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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    
Second Department of Surgery, Oita Medical University, Japan.
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MeSH Terms
Aorta, Thoracic / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortic Rupture / radiography,  surgery*
Blood Vessel Prosthesis
Ischemia / etiology,  radiography
Paraplegia / etiology*,  radiography
Postoperative Complications / etiology*,  radiography
Spinal Cord / blood supply

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