| A Case of Infrarenal Abdominal Aortic Aneurysm Associated with Postoperative Paraplegia |
(Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan)
| Hiroyuki Kurosawa |
Hirono Satokawa |
Yoichi Sato |
| Shinya Takase |
Koki Takahashi |
Yukitoki Misawa |
| Yuki Seto |
Eitoshi Tsuboi |
Kenichi Muramatsu |
| Hitoshi Yokoyama |
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Spinal cord ischemia is a very rare and unpredictable complication in surgery of infrarenal abdominal aortic aneurysms. A 65-year-old man who had a history of CABG (LITA-LAD, LITA-Y composite RA-OM) underwent resection of an abdominal aortic aneurysm. Postoperatively, he developed paraplegia and hypoesthesia with associated fecal incontinence. Reduction of collateral flows of patent lumbar arteries probably caused serious ischemia of the spinal cord. A standard infra-renal abdominal aorta surgery still has the risk of postoperative paraplegia, which should be incorporated in the preoperative informed consent.
Jpn. J. Cardiovasc. Surg. 35: 324-327 (2006) |
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