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DOI: 10.1055/a-2524-4880
Delayed Paraplegia after Complex Repair of Thoracic Aortic Dissection
Funding None.
Abstract
Spinal cord ischemia (SCI) is a well-known complication of both open and endovascular repair of the thoracoabdominal aorta. Perioperative maneuvers to increase spinal cord perfusion, including permissive hypertension and lumbar drain placement to control spinal pressure, are commonly used to reduce the risk of SCI. Additional perioperative measures to reduce the susceptibility of the spinal cord to ischemic insult include hypothermia, steroids, and naloxone infusion. Most cases manifest immediately or within days of surgery and improve with the aforementioned maneuvers. We describe a rare occurrence of delayed SCI 20 months after thoracic endovascular aortic aneurysm repair.
Note
This study was presented at the 8th Annual International Meeting of Aortic Disease, June 13–15, 2024, Leige, Belgium.
Publication History
Received: 10 August 2024
Accepted: 24 January 2025
Article published online:
28 February 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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