Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord

We report a rare case of delayed paraplegia triggered by gastrointestinal (GI) bleeding 8 months after thoracic endovascular aortic repair (TEVAR). A 78-year-old male underwent TEVAR of a descending thoracic aortic aneurysm without a postoperative neurological deficit and was discharged. Magnetic re...

Descripción completa

Detalles Bibliográficos
Autores principales: Yamauchi, Takashi, Kubota, Suguru, Hasegawa, Kosei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326056/
https://www.ncbi.nlm.nih.gov/pubmed/30637017
http://dx.doi.org/10.3400/avd.cr.18-00090
_version_ 1783386238373330944
author Yamauchi, Takashi
Kubota, Suguru
Hasegawa, Kosei
author_facet Yamauchi, Takashi
Kubota, Suguru
Hasegawa, Kosei
author_sort Yamauchi, Takashi
collection PubMed
description We report a rare case of delayed paraplegia triggered by gastrointestinal (GI) bleeding 8 months after thoracic endovascular aortic repair (TEVAR). A 78-year-old male underwent TEVAR of a descending thoracic aortic aneurysm without a postoperative neurological deficit and was discharged. Magnetic resonance image showed spinal cord infarction from Th8 to L1, and enhanced computed tomography showed a patent Adamkiewicz artery. The ostium of the intercostal artery connected with the Adamkiewicz artery was occluded. Patients with a history of TEVAR might be more vulnerable to spinal cord ischemia around the Adamkiewicz artery, which can be triggered by common hemorrhagic diseases, such as GI bleeding, even remote from the procedure.
format Online
Article
Text
id pubmed-6326056
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
record_format MEDLINE/PubMed
spelling pubmed-63260562019-01-11 Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord Yamauchi, Takashi Kubota, Suguru Hasegawa, Kosei Ann Vasc Dis Case Report We report a rare case of delayed paraplegia triggered by gastrointestinal (GI) bleeding 8 months after thoracic endovascular aortic repair (TEVAR). A 78-year-old male underwent TEVAR of a descending thoracic aortic aneurysm without a postoperative neurological deficit and was discharged. Magnetic resonance image showed spinal cord infarction from Th8 to L1, and enhanced computed tomography showed a patent Adamkiewicz artery. The ostium of the intercostal artery connected with the Adamkiewicz artery was occluded. Patients with a history of TEVAR might be more vulnerable to spinal cord ischemia around the Adamkiewicz artery, which can be triggered by common hemorrhagic diseases, such as GI bleeding, even remote from the procedure. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018-12-25 /pmc/articles/PMC6326056/ /pubmed/30637017 http://dx.doi.org/10.3400/avd.cr.18-00090 Text en Copyright © 2018 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Yamauchi, Takashi
Kubota, Suguru
Hasegawa, Kosei
Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title_full Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title_fullStr Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title_full_unstemmed Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title_short Delayed Paraplegia Triggered by Gastrointestinal Bleeding 8 Months after TEVAR: Persistent Vulnerability of Spinal Cord
title_sort delayed paraplegia triggered by gastrointestinal bleeding 8 months after tevar: persistent vulnerability of spinal cord
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326056/
https://www.ncbi.nlm.nih.gov/pubmed/30637017
http://dx.doi.org/10.3400/avd.cr.18-00090
work_keys_str_mv AT yamauchitakashi delayedparaplegiatriggeredbygastrointestinalbleeding8monthsaftertevarpersistentvulnerabilityofspinalcord
AT kubotasuguru delayedparaplegiatriggeredbygastrointestinalbleeding8monthsaftertevarpersistentvulnerabilityofspinalcord
AT hasegawakosei delayedparaplegiatriggeredbygastrointestinalbleeding8monthsaftertevarpersistentvulnerabilityofspinalcord

Ejemplares similares