Acute onset of paraplegia after repair of abdominal aortic aneurysm in a patient with acute type B aortic dissection.

Abstract:

:We report a rare complication of acute onset paraplegia after repair of an abdominal aortic aneurysm in a patient with acute type B aortic dissection. A 53-year-old man, suffering from abdominal aortic aneurysm (AAA), was admitted to our hospital with type IIIB acute aortic dissection. Ten days after admission, emergency Y-grafting was performed for impending rupture of the AAA. Twenty hours after Y-grafting, weakness of his lower extremities developed and progressed to paraplegia. Enhanced computed tomography scan revealed expansion of a thrombosed false lumen at the thoracoabdominal aorta, resulting in complete obstruction of the true lumen below the infra-renal aorta. Immediate axillobifemoral bypass was performed to prevent lower limb ischemia. Voluntary movement recovered gradually in both legs and eventually the patient could walk independently.

authors

Takahashi Y,Tsutsumi Y,Monta O,Kohshi K,Sakamoto T,Ohashi H

doi

10.1510/icvts.2008.191023

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

240-2

issue

2

eissn

1569-9293

issn

1569-9285

pii

icvts.2008.191023

journal_volume

8

pub_type

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