Repair of a ruptured aortic arch aneurysm complicated by postoperative paraplegia: Report of a case View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1996-01

AUTHORS

Tetsuo Hadama, Yoshiaki Mori, Osamu Shigemitsu, Tatsunori Kimura, Shinji Miyamoto, Hidenori Sako, Tooru Soeda, Toshihide Yoshimatsu, Yuzo Uchida

ABSTRACT

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". More... »

PAGES

60-63

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf00311995

DOI

http://dx.doi.org/10.1007/bf00311995

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007922862

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8680125


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