Delayed-Onset Postoperative Paraplegia in Acute Type A Aortic Dissection

Leone, Alessandro; Gliozzi, Gregorio; Marco, Luca Di; Votano, Daniela; Berardi, Marianna; Botta, Luca; Coppola, Giuditta; Pacini, Davide

doi:10.1016/j.athoracsur.2020.06.076

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2023

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“…It has been reported that paraparesis or paraplegia generally occurs in the early postoperative hours after clinical surveillance. A case report describes delayed-onset paraplegia 12 days after hemiarch replacement for acute TAAD [ 11 ] . Here, we describe a case of SCI resulting in paraplegia nine years after FET repair.…”

Section: Discussionmentioning

confidence: 99%

Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report

Zhu

Guo

et al. 2023

Braz J Cardiovasc Surg

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Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has been reported. Here, we describe a case of spinal cord ischemia resulting in paraplegia nine years after hybrid total arch repair with FET. Cerebrospinal fluid drainage and serial treatment were utilized to decrease intraspinal pressure and increase blood flow to the spinal cord. Three months after the onset of paraplegia and with treatment and rehabilitation, the patient recovered to walk.

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Section: Discussionmentioning

confidence: 99%