1. Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm
- Author
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Hyung Sub Park, Hyo Jun Kim, Jae S. Cho, Taeseung Lee, and Chang Sik Shin
- Subjects
medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,spinal cord ischemia ,medicine.medical_treatment ,Case Report ,030204 cardiovascular system & hematology ,030230 surgery ,Asymptomatic ,03 medical and health sciences ,0302 clinical medicine ,Lumbar ,paraplegia ,abdominal aortic aneurysm ,medicine ,cardiovascular diseases ,Rehabilitation ,medicine.diagnostic_test ,business.industry ,lcsh:RC633-647.5 ,Magnetic resonance imaging ,lcsh:Diseases of the blood and blood-forming organs ,Spinal cord ,medicine.disease ,Abdominal aortic aneurysm ,Surgery ,medicine.anatomical_structure ,lcsh:RC666-701 ,cardiovascular system ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Complication ,Paraplegia ,business - Abstract
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-year-old 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.
- Published
- 2020