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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1999 Ottobre;40(5):707-9

lingua: Inglese

Tran­sient par­a­plegia fol­lowing elec­tive infra­renal ­aortic aneu­rysm ­repair. Case ­report

Fernandez Alonso L., Agundez Gomez I.

From the Divi­sion of Vas­cular Sur­gery Clínica Uni­ver­si­taria of ­Navarra, Pam­plona, ­Spain


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Par­a­plegia is a ­well ­known com­pli­ca­tion ­after sur­gery for tho­racic and tho­raco-abdom­inal aneu­rysm but is ­very ­rare ­when the ­level ­involved is ­lower ­than the ­renal ­arteries. It is ­seen ­most ­often ­after treat­ment of rup­tured aneu­rysm and ­very few ­cases are ­found in the lit­er­a­ture ­reporting ­spinal ­cord ­ischemia ­after elec­tive ­repair of an infra­renal abdom­inal ­aortic aneu­rysm. A new ­case of tran­sient par­a­plegia fol­lowing elec­tive ­repair of an infra­renal abdom­inal ­aortic aneu­rysm is ­reported and dif­ferent ­aspects of ­this com­pli­ca­tion are dis­cussed. In our ­case, prob­ably the inter­rup­tion of ­blood ­flow in ­lumbar ­arteries and the dura­tion of cross­clamping ­were ­likely con­trib­u­tive fac­tors and it sug­gest ­that a ­failure to appre­ciate the sig­nif­i­cance of col­lat­eral ­sources of ­spinal ­cord ­blood ­flow may be respon­sible for at ­least ­some ­cases of post­op­er­a­tive par­a­plegia.

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