Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Spinal Cord Infarction following Off-pump Coronary Artery Bypass Surgery

체외순환 없이 시행한 관동맥우회술 후 발생한 척추신경경색

  • Jung Tae-Eun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Kwon Jin-Tae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Ahn Sang-Ho (Department of Rehabilitation, College of Medicine, Yeungnam University) ;
  • Lee Dong-Hyup (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University)
  • 정태은 (영남대학교 의과대학 흉부외과학교실) ;
  • 권진태 (영남대학교 의과대학 흉부외과학교실) ;
  • 안상호 (영남대학교 의과대학 재활의학교실) ;
  • 이동협 (영남대학교 의과대학 흉부외과학교실)
  • Published : 2006.07.01
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Abstract

A 62-year-old woman with ischemic heart disease, hypertension and hypercholesterolemia had developed spinal cord infarction after off-pump coronary artery bypass (OPCAB). The incidence of postoperative neurological complications is well known to be less in OPCAB than that of conventional coronary bypass surgery. Furthermore, spinal cord infarction is an uncommon clinical event after coronary bypass surgery Here we report a case of spinal cord infarction following OPCAB, discuss possible mechanism of spinal cord infarction with relate literatures.

고혈압과 고지혈증 그리고 허혈성심질환을 가진 62세 여자 환자가 심폐기를 이용하지 않는 관동맥우회술을 시행한 뒤 척추신경경색이 발생하였다. 심폐기를 이용하지 않는 관동맥우회술을 시행하는 경우 신경계 합병증의 발생 빈도는 통상의 관동맥우회술보다 낮다고 알려져 있다. 특히 관동맥우회술후 척추신경경색의 발생은 매우 드물다. 심폐기를 이용하지 않는 관동맥우회술을 시행한 후 척추신경경색이 발생한 1예를 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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