Paraplegia following the emergency surgical repair of a nonruptured symptomatic abdominal aortic aneurysm: Report of a case

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• 作者：Masato Tochii ; Yasushi Takagi ; Ryo Hoshino ; Mitsuru Yamashita ; Masato Sato ; Kan Kaneko ; Michiko Ishida ; Toru Watanabe ; Kiyotoshi Akita and Hiroshi Kondo ; et al.
• 关键词：Paraplegia ; Abdominal aortic aneurysm
• 刊名：Surgery Today
• 出版年：2009
• 出版时间：July, 2009
• 年：2009
• 卷：39
• 期：7
• 页码：603-605
• 全文大小：149.3 KB

文摘

This report presents an extremely rare case of paraplegia following emergency surgery for a nonruptured symptomatic abdominal aortic aneurysm. A 62-year-old man underwent an emergency surgical repair for a symptomatic nonruptured infrarenal abdominal aortic aneurysm. On postoperative day 2 paraplegia following spinal cord ischemia occurred at the T8 level. The site of the ischemia was situated too high for clamping to have caused this condition, unless the patient had a congenital anomaly in the blood supply to the spinal cord or it had been caused by the previously occluded great radicular artery, which was maintained by the collateral blood supply from the iliac circulation.