Les paraplegies secondaires a la chirurgie de l'aorte abdominale

Translated title of the contribution: Paraplegia following surgery of abdominal aortic aneurysm

P. Clavert, N. Chakfé, S. Edah-Tally, M. Beaufigeau, O. Hassani, F. Thaveau, J. L. Kahn, J. G. Kretz

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We report the case of an 84 year-old man who suffered of paraplegia after surgery of an abdominal aortic aneurysm. The neurologic status did not improve during 5 years of follow- up. This complication is rare in light of the review of the literature. It is more frequent after emergency (1.4 %) and redux (19 %) surgery than after elective surgery (1.1%). Its mechanisms are anatomic (occlusion of the Adamkievitz artery and of the pelvic collateral arteries) and hemodynamic mechanisms (thromboembolism, low systemic tension, long supra-renal clamping). Since pre-operative aortography to detect anatomic variations is not realistic, its only prevention remains maintenance of intra-operative hemodynamic, systemic heparinization, and preservation of the pelvic collateral circulation.

Translated title of the contributionParaplegia following surgery of abdominal aortic aneurysm
Original languageFrench
Pages (from-to)229-232
Number of pages4
JournalJournal des Maladies Vasculaires
Volume24
Issue number3
StatePublished - 1999

Keywords

  • Abdominal aorta
  • Aneurysm
  • Spinal cord ischemia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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