DOI QR코드

DOI QR Code

A Case of Paraplegia Following Endovascular Stent Repair of Descending Thoracic Aortic Aneurysm

  • Lee, Min-Young (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Myung-Goo (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hong, Kyung-Soon (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Chang-Yul (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Kyu-Tae (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Chan-Woo (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ryu, Myeong-Shin (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Young-Muk (Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hwang, Dae-Hyun (Department of Radiology, Hangang Sacred Heart Hospital, Hallym University College of Medicine)
  • 발행 : 2011.03.30

초록

Paraplegia secondary to spinal cord infarction is a recognized complication of open thoracic and thoracoabdominal aortic aneurysm (TAA) repair. TAA is serious and unpredictable condition. Therefore, aortic repair requires thorough information on managing the potential complications will facilitate improve control the problem. We report the symptoms and management of paraplegia in a patient who underwent stent insertion as TAA.

키워드

참고문헌

  1. Sullivan TM, Sundt TM 3rd. Complications of thoracic aortic endografts: spinal cord ischemia and stroke. J Vasc Surg 2006;43(Suppl A): 85A-8A. https://doi.org/10.1016/j.jvs.2005.10.048
  2. Fattori R, Napli G, Lovato L, et al. Descending thoracic aortic diseases: stent-graft repair. Radiology 2003;229:176-83. https://doi.org/10.1148/radiol.2291020905
  3. Cheung AT, Pochettino A, McGarvey LM, et al. Strategies to manage paraplegia risk after endovascular stent repair of descending thoracic aortic aneurysms. Ann Thorac Surg 2005;80:1280-9. https://doi.org/10.1016/j.athoracsur.2005.04.027
  4. Garcia ND, Tehrani H, Morasch M, Pearce W, Matsumura J. Spinal cord ischemia following endovascular repair of an infrarenal aortic an-eurysm. Ann Vasc Surg 2002;16:509-12. https://doi.org/10.1007/s10016-001-0033-8
  5. Berg P, Kaufmann D, Marrewijk CJ, Buth J. Spinal cord ischaemia after stent-graft treatment for infra-renal abdominal aortic aneurysms: an-alysis of the Eurostar database. Eur J Vasc Endovasc Surg 2001;22: 342-7. https://doi.org/10.1053/ejvs.2001.1470
  6. Choi JH, Lim C, Park KH, Chung ES, Kang SG, Yoon CJ. Percutaneous endovascular stent-graft treatment for aortic disease in high risk patients: the early and mid-term results. Korean J Thorac Cardiovasc Surg 2008;41:239-46.
  7. Ahn CM, Choi DH, Shim WH. Endovascular abdominal aortic aneu-rysmal repair: a Korean perspective. Korean Circ J 2007;37:459-63. https://doi.org/10.4070/kcj.2007.37.10.459
  8. Gowda RM, Misra D, Tranbaugh RF, Ohki T, Khan IA. Endovascular stent grafting of descending thoracic aortic aneurysms. Chest 2003; 124:714-9. https://doi.org/10.1378/chest.124.2.714
  9. Zuber WF, Gasper MR, Rothschild PD. The anterior spinal artery syn-drome: a complication of abdominal aortic surgery: report of five cases and review of the literature. Ann Surg 1970;172:909-15. https://doi.org/10.1097/00000658-197011000-00018
  10. Bracken MB. Steroids for acute spinal cord injury. Cochrane Database Syst Rev 2002;(3):CD001046.
  11. Weigang E, Hartert M, von Samson P, et al. Thoracoabdominal aortic aneurysm repair: interplay of spinal cord protecting modalities. Eur J Vasc Endovasc Surg 2005;30:624-31. https://doi.org/10.1016/j.ejvs.2005.05.029
  12. Lim KJ, Kwan TD, Jeon YS, Kim JS. Anesthetic management of endovascular stent graft placement for thoracic aortic diseases: a case report. Korean J Anesthesiol 2005;49:106-10. https://doi.org/10.4097/kjae.2005.49.1.106
  13. Garbenwoger M, Hutschala D, Ehrlich MP, et al. Thoracic aortic aneurysms: treatment with endovascular self-expandable stent grafts. Ann Thorac Surg 2000;69:441-5. https://doi.org/10.1016/S0003-4975(99)01291-6
  14. Piffaretti G, Tozzi M, Lomazzi C, Rivolta N, Caronno R, Castelli P. Complications after endovascular stent-grafting of thoracic aortic diseases. J Cardiothorac Surg 2006;1:26. https://doi.org/10.1186/1749-8090-1-26

피인용 문헌

  1. The use of spinal angiography in the management of posterior mediastinal tumors: Case series and review of the literature vol.48, pp.9, 2011, https://doi.org/10.1016/j.jpedsurg.2013.04.029
  2. Early Experience With Automatic Pressure-Controlled Cerebrospinal Fluid Drainage During Thoracic Endovascular Aortic Repair vol.22, pp.3, 2011, https://doi.org/10.1177/1526602815579904