A Case of Elective Abdominal Aortic Aneurysm Complicated with Postoperative Paraplegia

DOI
  • Kawamura Keiichiro
    Department of Surgery, Iwate Prefectural Chubu Hospital Department of Surgery, Iwate Prefectural Isawa Hospital
  • Yamashita Hiroshi
    Department of Surgery, Iwate Prefectural Chubu Hospital Department of Vascular Surgery, Kitakami Saiseikai Hospital
  • Goukon Yuji
    Department of Surgery, Iwate Prefectural Isawa Hospital

Bibliographic Information

Other Title
  • 術後対麻痺を合併した待機的腹部大動脈瘤手術の1例

Abstract

<p>Spinal cord ischemia is an extremely rare but severe complication following infrarenal abdominal aortic aneurysm repair and occurs in approximately 0.1 to 0.2% of elective cases. We present a case of a 79-year-old man who developed paraplegia due to spinal cord ischemia after an elective repair for a 50 mm infrarenal aortic aneurysm. The procedure involved infrarenal aortic clamping and aorto-bilateral external and internal iliac reconstruction. Three pairs of lumbar arteries were suture ligated. Postoperative paraplegia was neurologically recognized, and spinal cord infarction was confirmed by magnetic resonance imaging. Despite the steroid administration and rehabilitation efforts, there was no discernible improvement in paraplegia, sensory disturbance, or urinary and bowel excretory dysfunction. Currently, no reliable method exists to prevent paraplegia following abdominal aortic aneurysm repair. Although it is an extremely rare, the possibility of this serious complication should be included in preoperative informed consent documents.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390017444754994560
  • DOI
    10.11401/jsvs.23-00072
  • ISSN
    1881767X
    09186778
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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