A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection.
Acute Disease
Aged
Anesthesia, Local
Aortic Dissection
/ complications
Aortic Aneurysm, Thoracic
/ complications
Blood Vessel Prosthesis Implantation
Endovascular Procedures
/ adverse effects
Humans
Lower Extremity
/ innervation
Male
Paraplegia
/ diagnosis
Recovery of Function
Spinal Cord Ischemia
/ diagnosis
Treatment Outcome
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
21
09
2017
revised:
21
03
2020
accepted:
08
04
2020
pubmed:
28
4
2020
medline:
24
11
2020
entrez:
28
4
2020
Statut:
ppublish
Résumé
Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients . We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory , as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.
Identifiants
pubmed: 32339676
pii: S0890-5096(20)30350-2
doi: 10.1016/j.avsg.2020.04.031
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
570.e1-570.e4Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.