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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2011 October;52(5):731-4

language: English

Spinal cord ischemia after endovascular treatment of infrarenal aortic aneurysm. Case report and literature review

Freyrie A., Testi G., Gargiulo M., Faggioli G. L., Mauro R., Stella A.

Department of Vascular Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Italy


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Spinal cord ischemia is a rare but catastrophic complication after endovascular treatment of infrarenal aortic aneurysm: only 14 cases are reported in the literature. A patient with a 6 cm infrarenal aortic aneurysm extending to both common iliac arteries and high surgical risk was submitted to endovascular repair with exclusion of both hypogastric arteries and surgical revascularization of the right hypogastric artery. The patient presented paraplegia, apallesthesia and superficial hyposensitivity immediately after the procedure. A spinal cord drainage was positioned with little improvement of superficial sensitivity. We undertook a systematic review of the literature on this topic.

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Department of Vascular Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Italy