Delayed postoperative paraplegia complicating repair of type A dissection

We describe the very rare event of delayed transient paraplegia after repair of type A dissection of the aorta and discuss therapeutic options. We also suggest insertion of a spinal catheter as soon as there are signs or symptoms of spinal cord injury to drain spinal fluid and maximize the effect of...

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Veröffentlicht in:	The Annals of thoracic surgery 2001-10, Vol.72 (4), p.1389-1391
Hauptverfasser:	Medalion, Benjamin, Bder, Othman, Cohen, Amram J, Hauptman, Eli, Schachner, Arie
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Biological and medical sciences Cerebrospinal Fluid Pressure - physiology Humans Male Medical sciences Middle Aged Paraplegia - etiology Paraplegia - therapy Postoperative Complications - etiology Postoperative Complications - therapy Spinal Cord Ischemia - surgery Spinal Cord Ischemia - therapy Spinal Puncture Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Zusammenfassung:	We describe the very rare event of delayed transient paraplegia after repair of type A dissection of the aorta and discuss therapeutic options. We also suggest insertion of a spinal catheter as soon as there are signs or symptoms of spinal cord injury to drain spinal fluid and maximize the effect of elevated spinal cord perfusion pressure.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(00)02590-X