Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature.

Abstract:

:A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumbosacral plexopathy is uncommon because the plexus has a rich blood supply. The incidence of ischaemic lumbosacral plexopathy is higher with re-operative and emergency AAA reconstruction. This may predispose the lumbosacral plexus to ischaemic injury. Consideration should be given to maintaining retrograde perfusion of the internal iliac artery.

journal_name

Ann R Coll Surg Engl

authors

Abdelhamid MF,Sandler B,Awad RW

doi

10.1308/147870807X188470

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

W12-3

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

89

pub_type

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