Paraplegia Due to Intramedullary Hemorrhage After Mitral Valve Repair
We report the case of a patient who developed paraplegia after mitral valve repair and maze procedure. The first day after surgery, marked weakness of both lower extremities was noted. Neurologic examination showed almost complete loss of sensory and motor function below the level of the first thora...
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Veröffentlicht in: | The Annals of thoracic surgery 2015, Vol.99 (1), p.302-303 |
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creator | Numata, Satoshi, MD, PhD Samura, Takaaki, MD Tsutsumi, Yasushi, MD Ohashi, Hirokazu, MD, PhD |
description | We report the case of a patient who developed paraplegia after mitral valve repair and maze procedure. The first day after surgery, marked weakness of both lower extremities was noted. Neurologic examination showed almost complete loss of sensory and motor function below the level of the first thoracic vertebrae. Magnetic resonance imaging showed intramedullary hemorrhage ranging from the C7 to Th2 segments. Preoperative anticoagulation therapy and general heparinization during heart surgery may cause this rare complication. |
doi_str_mv | 10.1016/j.athoracsur.2014.03.050 |
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The first day after surgery, marked weakness of both lower extremities was noted. Neurologic examination showed almost complete loss of sensory and motor function below the level of the first thoracic vertebrae. Magnetic resonance imaging showed intramedullary hemorrhage ranging from the C7 to Th2 segments. Preoperative anticoagulation therapy and general heparinization during heart surgery may cause this rare complication.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2014.03.050</identifier><identifier>PMID: 25555947</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Cardiothoracic Surgery ; Hemorrhage - complications ; Humans ; Male ; Mitral Valve Insufficiency - surgery ; Paraplegia - etiology ; Postoperative Complications - etiology ; Spinal Cord Diseases - complications ; Surgery</subject><ispartof>The Annals of thoracic surgery, 2015, Vol.99 (1), p.302-303</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2015 The Society of Thoracic Surgeons</rights><rights>Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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Preoperative anticoagulation therapy and general heparinization during heart surgery may cause this rare complication.</description><subject>Aged</subject><subject>Cardiothoracic Surgery</subject><subject>Hemorrhage - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Paraplegia - etiology</subject><subject>Postoperative Complications - etiology</subject><subject>Spinal Cord Diseases - complications</subject><subject>Surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1PwzAMhiMEgvHxF1COXFqcpOnaCxLfQwKB-LpGaepuGV07khaJf0-qDZA44Utk-bWd9zEhlEHMgKXH81h3s9Zp43sXc2BJDCIGCRtkxKTkUcplvklGACCiJB_LHbLr_TykPJS3yQ6XIfJkPCKXD9rpZY1Tq-lFj7Rr6U3TOb3Asq9r7T7pBBetczM9RXpadejonQ31mr7q-gPpIy61dftkq9K1x4P1u0deri6fzyfR7f31zfnpbWQSnndRIiQzHCqeakyrMi0ECuTFOONcA5eCl5pVzGRSGF5JKGQeFCUzpjBFmadC7JGj1dyla9979J1aWG8wfLTBtveKpQlnWcbkIM1WUuNa7x1WaunsIhhSDNQAUc3VL0Q1QFQgVIAYWg_XW_oicPhp_KYWBGcrAQavHxad8sZiY7C0Dk2nytb-Z8vJnyGmto01un7DT_TztndNYKmY8lyBehqOOdySJQDB4Vh8AVTEnQg</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Numata, Satoshi, MD, PhD</creator><creator>Samura, Takaaki, MD</creator><creator>Tsutsumi, Yasushi, MD</creator><creator>Ohashi, Hirokazu, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2015</creationdate><title>Paraplegia Due to Intramedullary Hemorrhage After Mitral Valve Repair</title><author>Numata, Satoshi, MD, PhD ; Samura, Takaaki, MD ; Tsutsumi, Yasushi, MD ; Ohashi, Hirokazu, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-4351c20f26ae6fd6b3e3e2b7822a02532da1f1c853c2f50b59b3ed1ccbcbd9633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cardiothoracic Surgery</topic><topic>Hemorrhage - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Paraplegia - etiology</topic><topic>Postoperative Complications - etiology</topic><topic>Spinal Cord Diseases - complications</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Numata, Satoshi, MD, PhD</creatorcontrib><creatorcontrib>Samura, Takaaki, MD</creatorcontrib><creatorcontrib>Tsutsumi, Yasushi, MD</creatorcontrib><creatorcontrib>Ohashi, Hirokazu, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Numata, Satoshi, MD, PhD</au><au>Samura, Takaaki, MD</au><au>Tsutsumi, Yasushi, MD</au><au>Ohashi, Hirokazu, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paraplegia Due to Intramedullary Hemorrhage After Mitral Valve Repair</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2015</date><risdate>2015</risdate><volume>99</volume><issue>1</issue><spage>302</spage><epage>303</epage><pages>302-303</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We report the case of a patient who developed paraplegia after mitral valve repair and maze procedure. 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subjects | Aged Cardiothoracic Surgery Hemorrhage - complications Humans Male Mitral Valve Insufficiency - surgery Paraplegia - etiology Postoperative Complications - etiology Spinal Cord Diseases - complications Surgery |
title | Paraplegia Due to Intramedullary Hemorrhage After Mitral Valve Repair |
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