Surgical Treatment of Acute Thoracic Stent Graft Occlusion.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
02 2019
Historique:
received: 11 03 2018
revised: 28 05 2018
accepted: 31 05 2018
pubmed: 22 7 2018
medline: 7 11 2019
entrez: 21 7 2018
Statut: ppublish

Résumé

A 24-year-old man presented with acute onset paraplegia related to complete occlusion of a thoracic stent graft placed 2 years prior for repair of traumatic type B aortic dissection. Following emergency surgery comprising reestablishment of aortic flow by stent removal and aortic reconstruction, the paraplegia started to resolve partly, despite an estimated 5-hour interval of preoperative myelum ischemia. Anatomical characteristics of the stent graft placement appear to have played a role in causing this rare complication. Six months later, the patient could walk again with a stick. This case shows that early intervention in cases of full paraplegia may be considered.

Identifiants

pubmed: 30028980
pii: S0003-4975(18)30992-5
doi: 10.1016/j.athoracsur.2018.05.099
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e127-e129

Informations de copyright

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Omayra C D Liesdek (OCD)

Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht University, The Netherlands. Electronic address: o.c.d.liesdek@umcutrecht.nl.

Kirolos A Jacob (KA)

Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht University, The Netherlands.

Aryan Vink (A)

Department of Pathology, University Medical Center Utrecht, Utrecht University, The Netherlands.

Marijn A Vermeulen (MA)

Department of Pathology, University Medical Center Utrecht, Utrecht University, The Netherlands.

Constantijn E V B Hazenberg (CEVB)

Department of Vascular Surgery, University Medical Center Utrecht, Utrecht University, The Netherlands.

Willem J L Suyker (WJL)

Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht University, The Netherlands.

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Classifications MeSH