Spinal cord infarct after arterial switch associated with an umbilical artery catheter

Paraplegia after an open heart operation in a neonate is a rare complication. We report a case of a infant in whom paraplegia developed after a successful arterial switch operation for transposition of the great arteries. The infant was monitored and resuscitated in the preoperative period with umbi...

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Published inThe Annals of thoracic surgery Vol. 62; no. 5; pp. 1532 - 1534
Main Authors Lemke, Robert P., Idiong, Nnanake, Al-Saedi, Saad, Giddins, Niels G., Ward, Cameron, Hamilton, Andrew, Hawkins, Lois, Hancock, Betty J., Odim, Jonah N.K.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.1996
Elsevier Science
Subjects
Biological and medical sciences
Cardiology. Vascular system
Cardiopulmonary Bypass - adverse effects
Catheterization, Peripheral - adverse effects
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Heart
Humans
Infant, Newborn
Infarction - diagnosis
Infarction - etiology
Magnetic Resonance Imaging
Male
Medical sciences
Paraplegia - etiology
Spine - blood supply
Transposition of Great Vessels - surgery
Umbilical Arteries
Human
Nervous system diseases
Cardiovascular disease
Congenital disease
Case study
Paraplegia
Newborn
Treatment
Heart disease
Surgery
Complication
Transposition of the great vessels
Repair
Spinal cord disease
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Abstract Paraplegia after an open heart operation in a neonate is a rare complication. We report a case of a infant in whom paraplegia developed after a successful arterial switch operation for transposition of the great arteries. The infant was monitored and resuscitated in the preoperative period with umbilical arterial and venous catheter tips located in the midthoracic region. He likely suffered a clinically silent thromboembolic event predisposing him to a localized hemorrhagic infarction during the repair.
AbstractList Paraplegia after an open heart operation in a neonate is a rare complication. We report a case of a infant in whom paraplegia developed after a successful arterial switch operation for transposition of the great arteries. The infant was monitored and resuscitated in the preoperative period with umbilical arterial and venous catheter tips located in the midthoracic region. He likely suffered a clinically silent thromboembolic event predisposing him to a localized hemorrhagic infarction during the repair.
Author Lemke, Robert P.
Hamilton, Andrew
Al-Saedi, Saad
Hawkins, Lois
Ward, Cameron
Hancock, Betty J.
Idiong, Nnanake
Giddins, Niels G.
Odim, Jonah N.K.
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Cites_doi 10.1056/NEJM199503023320901
10.1097/01241398-199109000-00005
10.1016/S0022-3476(73)80443-3
10.1212/WNL.33.1.93
10.1016/0003-4975(93)90904-V
10.1016/S1042-3680(18)30786-1
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Issue 5
Keywords Human
Nervous system diseases
Cardiovascular disease
Congenital disease
Case study
Paraplegia
Newborn
Treatment
Heart disease
Surgery
Complication
Transposition of the great vessels
Repair
Spinal cord disease
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Elsevier Science
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Haldeman (10.1016/0003-4975(96)00778-3_bib5) 1983; 33
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Brown (10.1016/0003-4975(96)00778-3_bib6) 1989; 8
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Snippet Paraplegia after an open heart operation in a neonate is a rare complication. We report a case of a infant in whom paraplegia developed after a successful...
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SubjectTerms Biological and medical sciences
Cardiology. Vascular system
Cardiopulmonary Bypass - adverse effects
Catheterization, Peripheral - adverse effects
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Heart
Humans
Infant, Newborn
Infarction - diagnosis
Infarction - etiology
Magnetic Resonance Imaging
Male
Medical sciences
Paraplegia - etiology
Spine - blood supply
Transposition of Great Vessels - surgery
Umbilical Arteries
Title Spinal cord infarct after arterial switch associated with an umbilical artery catheter
URI https://dx.doi.org/10.1016/0003-4975(96)00778-3
https://www.ncbi.nlm.nih.gov/pubmed/8893606
https://search.proquest.com/docview/78484677
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