RESUMEN

Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has been reported. Here, we describe a case of spinal cord ischemia resulting in paraplegia nine years after hybrid total arch repair with FET. Cerebrospinal fluid drainage and serial treatment were utilized to decrease intraspinal pressure and increase blood flow to the spinal cord. Three months after the onset of paraplegia and with treatment and rehabilitation, the patient recovered to walk.

Asunto(s)

Implantación de Prótesis Vascular , Procedimientos Endovasculares , Isquemia de la Médula Espinal , Humanos , Implantación de Prótesis Vascular/efectos adversos , Implantación de Prótesis Vascular/métodos , Isquemia de la Médula Espinal/etiología , Procedimientos Endovasculares/métodos , Paraplejía/etiología , Paraplejía/cirugía , Isquemia/etiología , Isquemia/cirugía , Aorta Torácica/cirugía , Resultado del Tratamiento

RESUMEN

ABSTRACT Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occurrence of spinal cord ischemia leading to paraplegia after long-term follow-up of FET repair has been reported. Here, we describe a case of spinal cord ischemia resulting in paraplegia nine years after hybrid total arch repair with FET. Cerebrospinal fluid drainage and serial treatment were utilized to decrease intraspinal pressure and increase blood flow to the spinal cord. Three months after the onset of paraplegia and with treatment and rehabilitation, the patient recovered to walk.