| 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
:
|
6744545 - Two-dimensional echocardiographic assessment of the aorta in infants and children with ... 132575 - Aneurysm of right-sided cervical arch: surgical removal and graft replacement. 21889015 - Congenital pulmonary malformations in pediatric patients: review and update on etiolog... 11162705 - Absence of the common carotid artery in a patient with a persistent trigeminal artery v... 7481115 - Hypoxic helium breathing does not reduce alveolar-arterial po2 difference in the horse. 12077695 - Modified pericardial closure to protect internal mammary artery grafts in coronary arte... |
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...