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Case Reports
. 2012;4(3):182-6.

Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm

J J Appoo  1 , H D Gregory, H D Toeg, C A Prusinkiewicz, W D T Kent, A Ferland, D V Ha
Affiliations
Case Reports

Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm

J J Appoo et al. HSR Proc Intensive Care Cardiovasc Anesth. 2012.

Abstract

Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same patient. This highlights the importance of vigilant clinical assessments, efficient multidisciplinary teamwork, and maintenance of the determinants of spinal cord perfusion following endovascular thoracic aortic intervention.

Keywords: anesthesia; aneurysm; endovascular aortic repair; spinal cord ischemia; spinal cord paraplegia; vascular surgery.

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Conflict of interest statement

Conflict of interest None declared.

Figures

Figure 1
Figure 1
Pre-operative thoracoabdominal contrast enhanced computed tomography scan (computer 3D rendered) demonstrating oxbow shaped anuerysm extending from T8 to L2.
Figure 2
Figure 2
Post-op 3D-computed tomography scan image illustrating good stent graft coverage & patent visceral bypass grafts from left iliac artery.
See this image and copyright information in PMC

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