Document Detail


Tetraplegia after elective abdominal aortic aneurysm repair.
MedLine Citation:
PMID:  16890876     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spinal cord ischemia after elective infrarenal aortic aneurysm repair is extremely rare, and documented cases that are described are of paraplegia. This case of tetraplegia occurred in a 64-year-old man with disabling claudication after an aortobifemoral graft repair for occlusive disease associated with a 5-cm infrarenal aneurysm. Magnetic resonance imaging supported lower cervical spinal cord ischemia, an unusual area for ischemia during aortic clamping since this area is usually most resistant. Because the lower thoracic and upper lumbar region, typically T8, is more susceptible to ischemia due to the variable collateral spinal cord circulation, the level of clamping was unlikely to be responsible. Other causes are considered. It was likely to be multifactorial and illustrates the need for great attention to detail in perioperative management and patient consent.
Authors:
Annabel F K Moore; O E Klimach
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  44     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-07     Completed Date:  2006-09-18     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  401-3     Citation Subset:  IM    
Affiliation:
Department of Surgery, Glan Clwyd Hospital, Rhyl, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / surgery*
Humans
Male
Middle Aged
Postoperative Complications*
Quadriplegia / etiology*
Spinal Cord Ischemia / etiology
Surgical Procedures, Elective
Vascular Surgical Procedures

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


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