Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm

Hyo Jun Kim; Hyung Sub Park; Chang Sik Shin; Jae S. Cho; Taeseung Lee

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자료유형: 학술저널

저자정보: Hyo Jun Kim (Seoul National University Bundang Hospital) Hyung Sub Park (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea) Chang Sik Shin (Seoul National University Bundang Hospital) Jae S. Cho (Case Western Reserve University) Taeseung Lee (Seoul National University Bundang Hospital)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.36 No.4

발행연도: 2020.1

수록면: 248 - 251 (4page)

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Spinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is anunpredictable and devastating complication. We present a case report of a patientwho developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearoldman presented with asymptomatic 5.5-cm suprarenal AAA, for which he underwentopen repair under general anesthesia. The paraplegia was identified 6hours after the operation. Postoperative magnetic resonance imaging showed T2signal hyperintensity and swelling of the spinal cord, which were consistent findingswith subacute spinal cord infarction. Although intravenous steroid was administeredand lumbar cerebral spinal fluid drainage was instituted, his neurologicaloutcome did not improve. He was discharged after vigorous rehabilitation but stillhas paraplegia and requires wheelchair for ambulation.

#Paraplegia #Spinal cord ischemia #Abdominal aortic aneurysm

참고문헌 (13)

참고문헌 신청

Rosenthal D / 1999 / Spinal cord ischemia after abdominal aortic operation : is it preventable / J Vasc Surg 30:391~397

Szilagyi DE / 1978 / Spinal cord damage in surgery of the abdominal aorta / Surgery 83:38~56

Rockman CB / 2001 / Lower extremity paraparesis or paraplegia subsequent to endovascular management of abdominal aortic aneurysms / J Vasc Surg 33:178~180

Garcia ND / 2002 / Spinal cord ischemia following endovascular repair of an infrarenal aortic aneurysm / Ann Vasc Surg 16:509~512

Riess KP / 2007 / Delayed neurologic deficit after infrarenal endovascular aortic aneurysm repair / Am Surg 73:385~387

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