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Paraplegia after Open Repair of Suprarenal Abdominal Aortic Aneurysm

Vascular Specialist International 2020년 36권 4호 p.248 ~ 251
김효준, 박형섭, 신창식, Cho Jae-S., 이태승,
소속 상세정보
김효준 ( Kim Hyo-Jun ) - Seoul National University Bundang Hospital Department of Surgery
박형섭 ( Park Hyung-Sub ) - Seoul National University Bundang Hospital Department of Surgery
신창식 ( Shin Chang-Sik ) - Seoul National University Bundang Hospital Department of Surgery
 ( Cho Jae-S. ) - Case Western Reserve University Department of Surgery
이태승 ( Lee Tae-Seung ) - Seoul National University Bundang Hospital Department of Surgery

Abstract


Spinal cord ischemia after open repair of abdominal aortic aneurysm (AAA) is an unpredictable and devastating complication. We present a case report of a patient who developed paraplegia 6 hours after open repair of suprarenal AAA. A 74-yearold man presented with asymptomatic 5.5-cm suprarenal AAA, for which he underwent open repair under general anesthesia. The paraplegia was identified 6 hours after the operation. Postoperative magnetic resonance imaging showed T2 signal hyperintensity and swelling of the spinal cord, which were consistent findings with subacute spinal cord infarction. Although intravenous steroid was administered and lumbar cerebral spinal fluid drainage was instituted, his neurological outcome did not improve. He was discharged after vigorous rehabilitation but still has paraplegia and requires wheelchair for ambulation.

키워드

Paraplegia; Spinal cord ischemia; Abdominal aortic aneurysm

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