Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2007 Jul;89(5):W12-3.
doi: 10.1308/147870807X188470.

Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature

Mohamed Farouk Abdelhamid  1 , Belinda Sandler, Reda William Awad
Affiliations
Review

Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature

Mohamed Farouk Abdelhamid et al. Ann R Coll Surg Engl. 2007 Jul.

Abstract

A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumbosacral plexopathy is uncommon because the plexus has a rich blood supply. The incidence of ischaemic lumbosacral plexopathy is higher with re-operative and emergency AAA reconstruction. This may predispose the lumbosacral plexus to ischaemic injury. Consideration should be given to maintaining retrograde perfusion of the internal iliac artery.

PubMed Disclaimer

References

    1. Szilagyi DE, Hageman JH, Smith RF, Elliott JP. Spinal cord damage in surgery of the abdominal aorta. Surgery. 1978;83:38–56. - PubMed
    1. Picone AL, Green RM, Ricotta JR, May AG, DeWeese JA. Spinal cord ischemia following operations on the abdominal aorta. J Vasc Surg. 1986;3:94–103. - PubMed
    1. Roberts JT. The effect of occlusive arterial disease of the extremities on the blood supply of nerve: experimental and clinical studies on the role of vasa nervosum. Am Heart J. 1948;35:369–92. - PubMed
    1. Gloviczki P, Cross SA, Stanson AW, Carmichael SW, Bower TC, Pairolero PC, et al. Ischemic injury to the spinal cord or lumbosacral plexus after aorto-iliac reconstruction. Am J Surg. 1991;162:131–6. - PubMed
    1. Jablecki CK, Aguilo JJ, Piepgras DG, Zincke H, Goldstein NP. Paraparesis after renal transplantation. Ann Neurol. 1977;2:154–5.