RESUMO

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.

Assuntos

Implante de Prótese Vascular , Procedimentos Endovasculares , Isquemia do Cordão Espinal , Humanos , Implante de Prótese Vascular/efeitos adversos , Implante de Prótese Vascular/métodos , Isquemia do Cordão Espinal/etiologia , Procedimentos Endovasculares/métodos , Paraplegia/etiologia , Paraplegia/cirurgia , Isquemia/etiologia , Isquemia/cirurgia , Aorta Torácica/cirurgia , Resultado do Tratamento

RESUMO

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.