Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm
Spinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is an unpredictable and devastating complication. We present a case report of a patient who developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearold man presented with asymptomatic 5.5-cm suprarenal AAA,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2020-12-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200078 |
| _version_ | 1818981529098911744 |
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| author | Hyo Jun Kim Hyung Sub Park Chang Sik Shin Jae S. Cho Taeseung Lee |
| author_facet | Hyo Jun Kim Hyung Sub Park Chang Sik Shin Jae S. Cho Taeseung Lee |
| author_sort | Hyo Jun Kim |
| collection | DOAJ |
| description | Spinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is an unpredictable and devastating complication. We present a case report of a patient who developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearold man presented with asymptomatic 5.5-cm suprarenal AAA, for which he underwent open repair under general anesthesia. The paraplegia was identified 6 hours after the operation. Postoperative magnetic resonance imaging showed T2 signal hyperintensity and swelling of the spinal cord, which were consistent findings with subacute spinal cord infarction. Although intravenous steroid was administered and lumbar cerebral spinal fluid drainage was instituted, his neurological outcome did not improve. He was discharged after vigorous rehabilitation but still has paraplegia and requires wheelchair for ambulation. |
| first_indexed | 2024-12-20T17:32:46Z |
| format | Article |
| id | doaj.art-bd8007383dfb4b29a257e598cf2f20bc |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-20T17:32:46Z |
| publishDate | 2020-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-bd8007383dfb4b29a257e598cf2f20bc2022-12-21T19:31:20ZengMedrangVascular Specialist International2288-79702020-12-0136424825110.5758/vsi.200078vsi.200078Paraplegia after Open Repair of Suprarenal Abdominal Aortic AneurysmHyo Jun Kim0Hyung Sub Park1Chang Sik Shin2Jae S. Cho3Taeseung Lee4Department of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Case Western Reserve University, Cleveland, OH, USADepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaSpinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is an unpredictable and devastating complication. We present a case report of a patient who developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearold man presented with asymptomatic 5.5-cm suprarenal AAA, for which he underwent open repair under general anesthesia. The paraplegia was identified 6 hours after the operation. Postoperative magnetic resonance imaging showed T2 signal hyperintensity and swelling of the spinal cord, which were consistent findings with subacute spinal cord infarction. Although intravenous steroid was administered and lumbar cerebral spinal fluid drainage was instituted, his neurological outcome did not improve. He was discharged after vigorous rehabilitation but still has paraplegia and requires wheelchair for ambulation.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200078paraplegiaspinal cord ischemiaabdominal aortic aneurysm |
| spellingShingle | Hyo Jun Kim Hyung Sub Park Chang Sik Shin Jae S. Cho Taeseung Lee Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm Vascular Specialist International paraplegia spinal cord ischemia abdominal aortic aneurysm |
| title | Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm |
| title_full | Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm |
| title_fullStr | Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm |
| title_full_unstemmed | Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm |
| title_short | Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm |
| title_sort | paraplegia after open repair of suprarenal abdominal aortic aneurysm |
| topic | paraplegia spinal cord ischemia abdominal aortic aneurysm |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200078 |
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