Spinal cord ischemia resulting in paraplegia following extrapleural pneumonectomy.

Abstract:

:A patient undergoing radical extrapleural pneumonectomy for epithelioid malignant mesothelioma developed acute paraplegia postoperatively related to long-segment spinal cord ischemia. The usual area of concern for this complication is the T9 to T12 area where the artery of Adamkiewicz is most likely to originate. In this patient, there was ligation of only upper thoracic, ipsilateral segmental arteries from the T3 to T6 level, yet he still developed paraplegia. Our hypothesis is variant mid-thoracic vascular anatomy. Previously unreported, to our knowledge, this should be understood as a rare complication of this surgery.

journal_name

Chest

journal_title

Chest

authors

Ural K,Jakob K,Lato S,Gilly G,Landreneau R

doi

10.1378/chest.13-3062

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

e38-e40

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)48845-2

journal_volume

146

pub_type

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