Late onset paraplegia after endovascular repair of type B aortic dissection managed by urgent left subclavian artery revascularization: case report.

07:00 EST 12th February 2019 | BioPortfolio

Summary of "Late onset paraplegia after endovascular repair of type B aortic dissection managed by urgent left subclavian artery revascularization: case report."

Spinal cord ischemia is one of the most unpredictable and feared complication following open surgical or endovascular thoracic aortic repair. Protection of collateral network branches that contribute blood supply to spinal cord is fundamental in the prevention of this catastrophic condition. We report the case of a patient who underwent emergent endovascular treatment for a type B aortic dissection complicated by rupture of the false lumen, with intentional coverage of the left subclavian artery without revascularization. The patient developed paraplegia on the 10 postoperative day, that did not significantly improve with immediate cerebrospinal fluid drainage, but fully recovered after urgent left carotid-subclavian bypass.


Journal Details

This article was published in the following journal.

Name: Annals of vascular surgery
ISSN: 1615-5947


DeepDyve research library

PubMed Articles [14940 Associated PubMed Articles listed on BioPortfolio]

Paraplegia after coronary artery bypass surgery: An uncommon complication in a patient with history of thoracic endovascular aortic repair.

Neurologic lesions are unusual complications after coronary artery bypass surgery. Among them, paraplegia is one of the rarest, with only a few cases reported in the literature. We report a case of pa...

Case report of a type III endoleak presenting only decades after endovascular aortic repair.

Type III endoleaks are a rare but potentially life-threatening complication post endovascular aortic aneurysm repair (EVAR).

Thoracic endovascular aortic repair for the treatment of ruptured acute type B aortic dissection.

To evaluate the efficacy of thoracic endovascular aortic repair (TEVAR) for ruptured acute type B aortic dissection (r-ATBAD).

Endograft migration after thoracic endovascular aortic repair.

The objective of this study was to evaluate the incidence, timing, and potential risk factors of late endograft migration after thoracic endovascular aortic repair (TEVAR).

Late-onset malignant neoplasms and their prognostic factors after abdominal aortic aneurysm repair.

Little is known about late-onset primary malignant neoplasms after repair of abdominal aortic aneurysms (AAAs), despite malignancy being one of the primary causes of late death. We investigated the in...

Clinical Trials [9268 Associated Clinical Trials listed on BioPortfolio]

Paraplegia Prevention in Aortic Aneurysm Repair by Thoracoabdominal Staging

Aortic aneurysms represent the most common and dangerous aortic diseases. Although conventional aortic repair techniques cure the disease, there is a high risk of paraplegia particularly i...

Evaluation of the Endovascular Repair for Aortic Aneurysm (EVAR) Program at LHSC

The purpose of this study is to compare the cost effectiveness, quality of life and outcomes of the endovascular stent graft repair with the open surgical repair of abdominal aortic aneury...

Dutch Randomised Endovascular Aneurysm Management (DREAM-) Trial

The purpose of this trial is to assess whether the new endovascular repair technique of the abdominal aortic aneurysm (AAA) is an adequate substitute of the conventional AAA repair.

The Pivotal Study of the Aptus Endovascular AAA Repair System

A prospective, non-randomized, multi-center clinical study to evaluate the safety and effectiveness of the Aptus Endovascular AAA Repair System compared to an open surgical repair historic...

Elective Abdominal Aortic Aneurism - Open Versus Endovascular Repair

Abdominal aortic aneurysm (AAA) is a life threatening disease. There is a consensus to propose surgical repair in patients with a reasonable operative risk when the AAA exceeds 5 cm in dia...

Medical and Biotech [MESH] Definitions

A syndrome characterized by multiple system abnormalities including DWARFISM; PHOTOSENSITIVITY DISORDERS; PREMATURE AGING; and HEARING LOSS. It is caused by mutations of a number of autosomal recessive genes encoding proteins that involve transcriptional-coupled DNA REPAIR processes. Cockayne syndrome is classified by the severity and age of onset. Type I (classical; CSA) is early childhood onset in the second year of life; type II (congenital; CSB) is early onset at birth with severe symptoms; type III (xeroderma pigmentosum; XP) is late childhood onset with mild symptoms.

A group of recessively inherited diseases that feature progressive muscular atrophy and hypotonia. They are classified as type I (Werdnig-Hoffman disease), type II (intermediate form), and type III (Kugelberg-Welander disease). Type I is fatal in infancy, type II has a late infantile onset and is associated with survival into the second or third decade. Type III has its onset in childhood, and is slowly progressive. (J Med Genet 1996 Apr:33(4):281-3)

Cardiovascular manifestations of SYPHILIS, an infection of TREPONEMA PALLIDUM. In the late stage of syphilis, sometimes 20-30 years after the initial infection, damages are often seen in the blood vessels including the AORTA and the AORTIC VALVE. Clinical signs include syphilitic aortitis, aortic insufficiency, or aortic ANEURYSM.

An allelic disorder of TYPE A NIEMANN-PICK DISEASE, a late-onset form. It is also caused by mutation in SPHINGOMYELIN PHOSPHODIESTERASE but clinical signs involve only visceral organs (non-neuropathic type).

Pathological conditions (Disorder, SYNDROME, or DISEASE) whose SIGNS AND SYMPTOMS manifest late in the life of an individual.

Quick Search


DeepDyve research library

Relevant Topics

Spinal Cord Disorders
The spinal cord is a bundle of nerves that runs down the middle of the back which carry signals back and forth between the body and brain. It is protected by vertebrae, which are the bone disks that make up the spine. An accident that damages the verte...

Surgical treatments
Surgery is a technology consisting of a physical intervention on tissues. All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...

Searches Linking to this Article