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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.

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This article was published in the following journal.

Name: Annals of vascular surgery
ISSN: 1615-5947
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