In operated type A aortic dissections (TAAD), irreversible spinal cord injury (SCI) may occur due to several factors: prolonged circulatory arrest, extension of replacement, hypoperfusion of segmental arteries due to aortic false lumen thrombosis. Careful neuroprotective strategies and shorter operative times are crucial to reduce SCI incidence. Despite optimal perioperative management, rarely delayed onset SCI occurs due to subacute aortic remodeling. We report the case of a 77 year old lady who underwent ascending aorta and hemiarch replacement for TAAD and developed delayed paraplegia on postoperative day 12.
DELAYED ONSET POSTOPERATIVE PARAPLEGIA IN ACUTE TYPE A AORTIC DISSECTION
Gliozzi, Gregorio;Di Marco, Luca;Votano, Daniela;Berardi, Marianna;Botta, Luca;Coppola, Giuditta;Pacini, Davide
2021
Abstract
In operated type A aortic dissections (TAAD), irreversible spinal cord injury (SCI) may occur due to several factors: prolonged circulatory arrest, extension of replacement, hypoperfusion of segmental arteries due to aortic false lumen thrombosis. Careful neuroprotective strategies and shorter operative times are crucial to reduce SCI incidence. Despite optimal perioperative management, rarely delayed onset SCI occurs due to subacute aortic remodeling. We report the case of a 77 year old lady who underwent ascending aorta and hemiarch replacement for TAAD and developed delayed paraplegia on postoperative day 12.File in questo prodotto:
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