Paraplegia After Valvular Surgery After Remote Thoracoabdominal Aortic Aneurysm Repair

被引:0
|
作者
Masuyama, Shinji [1 ]
Isomura, Tadashi [2 ]
Inoue, Takehiko [1 ]
Ichihara, Tetsuya [1 ]
机构
[1] Otakanomori Hosp, Dept Cardiovasc Surg, 113 Toyoshiki, Kashiwa, Chiba 2770863, Japan
[2] IMS Tokyo Katsushika Gen Hosp, Dept Cardiovasc Surg, Tokyo, Japan
来源
ANNALS OF THORACIC SURGERY | 2021年 / 112卷 / 01期
关键词
D O I
10.1016/j.athoracsur.2020.10.067
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Neurological disorders are the most unpredictable and feared complications after open surgery or endovas-cular aortic repair. Paraplegia because of spinal cord injury is well known after thoracoabdominal aortic surgery but not after valvular surgery. We herein present a case of paraplegia after mitral and tricuspid valve surgery in a patient with a history of surgery involving the thoracoabdominal and abdominal aorta. The paraplegia was likely caused by temporary post-operative hypotension as low as 40 mm Hg for more than 10 minutes with decreased spinal perfusion in the intensive care unit. (Ann Thorac Surg 2021;112:e9-e11) (c) 2021 by The Society of Thoracic Surgeons
引用
收藏
页码:E9 / E11
页数:3
相关论文
共 50 条
  • [1] Paraplegia after thoracoabdominal aortic aneurysm repair: Is dissection a risk factor?
    Coselli, JS
    LeMaire, SA
    deFigueiredo, LP
    Kirby, RP
    [J]. ANNALS OF THORACIC SURGERY, 1997, 63 (01): : 28 - 35
  • [2] Thoracoabdominal aortic aneurysm repair after prior aortic surgery
    Lombardi, JV
    Carpenter, JP
    Pochettino, A
    Sonnad, SS
    Bavaria, JE
    [J]. JOURNAL OF VASCULAR SURGERY, 2003, 38 (06) : 1185 - 1189
  • [3] Delayed paraplegia after thoracoabdominal aortic aneurysm repair announced by changes in CSF
    R Imberti
    V Rizzo
    I Blangetti
    G Bellinzona
    R Moratti
    M Langer
    [J]. Critical Care, 7 (Suppl 2):
  • [4] Thoracoabdominal aortic aneurysm repair after prior aortic surgery - Discussion
    Sicard, GA
    Lombardi, J
    [J]. JOURNAL OF VASCULAR SURGERY, 2003, 38 (06) : 1189 - 1190
  • [5] Mortality and paraplegia after thoracoabdominal aortic aneurysm repair:: A risk factor analysis
    Coselli, JS
    LeMaire, SA
    Miller, CC
    Schmittling, ZC
    Köksoy, C
    Pagan, J
    Curling, PE
    [J]. ANNALS OF THORACIC SURGERY, 2000, 69 (02): : 409 - 414
  • [6] Estimating group mortality and paraplegia rates after thoracoabdominal aortic aneurysm repair
    LeMaire, SA
    Miller, CC
    Conklin, LD
    Schmittling, ZC
    Coselli, JS
    [J]. ANNALS OF THORACIC SURGERY, 2003, 75 (02): : 508 - 513
  • [7] Paraplegia after thoracoabdominal aortic aneurysm repair: Is dissection a risk factor? Discussion
    Kouchoukos, NT
    Coselli
    Replogle, RL
    [J]. ANNALS OF THORACIC SURGERY, 1997, 63 (01): : 35 - 36
  • [8] Staged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair
    Etz, Christian D.
    Zoli, Stefano
    Mueller, Christoph S.
    Bodian, Carol A.
    Di Luozzo, Gabriele
    Lazala, Ricardo
    Plestis, Konstadinos A.
    Griepp, Randall B.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 139 (06): : 1464 - 1472
  • [9] Mortality and paraplegia after thoracoabdominal aortic aneurysm repair: A risk factor analysis - Discussion
    Griepp, RB
    Coselli
    [J]. ANNALS OF THORACIC SURGERY, 2000, 69 (02): : 414 - 414
  • [10] Left heart bypass reduces paraplegia rates after thoracoabdominal aortic aneurysm repair
    Coselli, JS
    LeMaire, SA
    [J]. ANNALS OF THORACIC SURGERY, 1999, 67 (06): : 1931 - 1934