Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report

Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has bee...

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Autores principales: Xu, Zeqin, Tong, Zhu, Guo, Jianming, Qi, Yixia, Li, Liqiang, Guo, Lianrui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399581/
https://www.ncbi.nlm.nih.gov/pubmed/37540197
http://dx.doi.org/10.21470/1678-9741-2022-0327
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author Xu, Zeqin
Tong, Zhu
Guo, Jianming
Qi, Yixia
Li, Liqiang
Guo, Lianrui
author_facet Xu, Zeqin
Tong, Zhu
Guo, Jianming
Qi, Yixia
Li, Liqiang
Guo, Lianrui
author_sort Xu, Zeqin
collection PubMed
description Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has been reported. Here, we describe a case of spinal cord ischemia resulting in paraplegia nine years after hybrid total arch repair with FET. Cerebrospinal fluid drainage and serial treatment were utilized to decrease intraspinal pressure and increase blood flow to the spinal cord. Three months after the onset of paraplegia and with treatment and rehabilitation, the patient recovered to walk.
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spelling pubmed-103995812023-08-04 Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report Xu, Zeqin Tong, Zhu Guo, Jianming Qi, Yixia Li, Liqiang Guo, Lianrui Braz J Cardiovasc Surg Case Report Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has been reported. Here, we describe a case of spinal cord ischemia resulting in paraplegia nine years after hybrid total arch repair with FET. Cerebrospinal fluid drainage and serial treatment were utilized to decrease intraspinal pressure and increase blood flow to the spinal cord. Three months after the onset of paraplegia and with treatment and rehabilitation, the patient recovered to walk. Sociedade Brasileira de Cirurgia Cardiovascular 2023-07-18 /pmc/articles/PMC10399581/ /pubmed/37540197 http://dx.doi.org/10.21470/1678-9741-2022-0327 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Xu, Zeqin
Tong, Zhu
Guo, Jianming
Qi, Yixia
Li, Liqiang
Guo, Lianrui
Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title_full Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title_fullStr Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title_full_unstemmed Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title_short Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report
title_sort acute paraplegia result from spinal ischemia nine years after hybrid total arch repair with frozen elephant trunk: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399581/
https://www.ncbi.nlm.nih.gov/pubmed/37540197
http://dx.doi.org/10.21470/1678-9741-2022-0327
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