CASE REPORTS  SELECTED PAPERS FROM SICVE NATIONAL CONGRESS 2009 

Italian Journal of Vascular and Endovascular Surgery 2010 September;17(3):195-7

Copyright © 2010 EDIZIONI MINERVA MEDICA

lingua: Inglese

Acute infrarenal aortic dissection presenting as back pain and transient paralysis of the lower limbs

Ahmed M.

Department of Vascular surgery, Princess Royal Hospital, Telford, UK

Spinal cord injury is a rare complication in patients with aortic dissection. Spinal ischemia has been reported as a complication of aortic dissection due to impairment of its extrinsic supply in the great radicular artery (GRA) of Adamkiewicz. The extrinsic arterial blood supply to the spinal cord, diminishes caudally and is believed to become critically dependent upon the GRA. Infrarenal aortic dissections (IAAD) inducing spinal ischemia are exceptionally rare in the literature. We present a case of an IAAD presenting with transient spinal ischemia.