Paraplegia After Off-Pump Coronary Artery By-Pass Grafting
Paraplegia is an exceedingly rare neurologic complication after off-pump coronary artery bypass graft (OPCAB) surgery commonly caused by spinal cord ischemia (SCI). SCI is not a well unknown clinical phenomenon in the postoperative course. SCI has been reported after noncardiac surgery in otherwise...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2018-01-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/5044 |
| _version_ | 1818758851817635840 |
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| author | Aghigh Haidari Feridoun Sabzi Samsam Dabiri |
| author_facet | Aghigh Haidari Feridoun Sabzi Samsam Dabiri |
| author_sort | Aghigh Haidari |
| collection | DOAJ |
| description | Paraplegia is an exceedingly rare neurologic complication after off-pump coronary artery bypass graft (OPCAB) surgery commonly caused by spinal cord ischemia (SCI). SCI is not a well unknown clinical phenomenon in the postoperative course. SCI has been reported after noncardiac surgery in otherwise healthy subjects in whom only one risks factor i.e. severe hypotension has been documented. SCI has also been reported as a rare complication among the other neurologic sequels of cardiac surgery. We report a case of paraplegia in a patient with metabolic syndrome and multiples risk factors after an OPCAB. This patient may be considered as an interesting case as no any ischemic event was found in the imaging modalities and culprit lesion may be attributed to 1-left internal thoracic artery use as an important blood perfusion to anterior spinal artery vasculature and 2-Disc herniation at intervertebral space of T as a culprit lesion 3-transient intraoperative hypotension. The patient was managed by lower extremities physiotherapy and skin care, however, after 3months of follow-up, no evidence of recovery was detected. |
| first_indexed | 2024-12-18T06:33:24Z |
| format | Article |
| id | doaj.art-c8f364b801b841f4887d34b2af3cbcd2 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-12-18T06:33:24Z |
| publishDate | 2018-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-c8f364b801b841f4887d34b2af3cbcd22022-12-21T21:17:51ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942018-01-0155125237Paraplegia After Off-Pump Coronary Artery By-Pass GraftingAghigh Haidari0Feridoun Sabzi1Samsam Dabiri2Department of Cardiovasculary Surgery, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Department of Cardiovasculary Surgery, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Department of Cardiovasculary Surgery, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Paraplegia is an exceedingly rare neurologic complication after off-pump coronary artery bypass graft (OPCAB) surgery commonly caused by spinal cord ischemia (SCI). SCI is not a well unknown clinical phenomenon in the postoperative course. SCI has been reported after noncardiac surgery in otherwise healthy subjects in whom only one risks factor i.e. severe hypotension has been documented. SCI has also been reported as a rare complication among the other neurologic sequels of cardiac surgery. We report a case of paraplegia in a patient with metabolic syndrome and multiples risk factors after an OPCAB. This patient may be considered as an interesting case as no any ischemic event was found in the imaging modalities and culprit lesion may be attributed to 1-left internal thoracic artery use as an important blood perfusion to anterior spinal artery vasculature and 2-Disc herniation at intervertebral space of T as a culprit lesion 3-transient intraoperative hypotension. The patient was managed by lower extremities physiotherapy and skin care, however, after 3months of follow-up, no evidence of recovery was detected.https://acta.tums.ac.ir/index.php/acta/article/view/5044Off-pump coronary artery surgeryParaplegia |
| spellingShingle | Aghigh Haidari Feridoun Sabzi Samsam Dabiri Paraplegia After Off-Pump Coronary Artery By-Pass Grafting Acta Medica Iranica Off-pump coronary artery surgery Paraplegia |
| title | Paraplegia After Off-Pump Coronary Artery By-Pass Grafting |
| title_full | Paraplegia After Off-Pump Coronary Artery By-Pass Grafting |
| title_fullStr | Paraplegia After Off-Pump Coronary Artery By-Pass Grafting |
| title_full_unstemmed | Paraplegia After Off-Pump Coronary Artery By-Pass Grafting |
| title_short | Paraplegia After Off-Pump Coronary Artery By-Pass Grafting |
| title_sort | paraplegia after off pump coronary artery by pass grafting |
| topic | Off-pump coronary artery surgery Paraplegia |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/5044 |
| work_keys_str_mv | AT aghighhaidari paraplegiaafteroffpumpcoronaryarterybypassgrafting AT feridounsabzi paraplegiaafteroffpumpcoronaryarterybypassgrafting AT samsamdabiri paraplegiaafteroffpumpcoronaryarterybypassgrafting |