Open AccessUnilateral low extremity paraplegia after thoracic endovascular aortic repair for aortic arch aneurysm
Author(s) -
Chia-Ning Fan,
Chih-Chien Yen,
ChienSung Tsai,
ChihYuan Lin
Publication year - 2016
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.196378
Subject(s) - paraplegia , medicine , surgery , thoracic aortic aneurysm , revascularization , stent , spinal cord , aortic arch , spinal cord injury , aneurysm , endovascular aneurysm repair , aortic aneurysm , thoracic aorta , aorta , abdominal aortic aneurysm , cardiology , myocardial infarction , psychiatry
Spinal cord ischemic injury and consequently permanent paraplegia remain the most devastating complications after open and endovascular thoracic or thoracoabdominal aortic aneurysm repair. Hemodynamic stability, which depends on a network of blood vessels around the cord, is most important not only during but also after stent-graft deployment to prevent spinal cord injury. Despite the use of various strategies to prevent spinal cord ischemia, including aggressive revascularization of the subclavian artery and cerebrospinal fluid drainage, this condition remains inevitable and difficult to predict before an operation. We present a rare case of a patient who presented with unilateral paraplegia that developed after thoracic endovascular aortic repair for aortic arch aneurysm and our subsequent salvage strategy