Spinal cord ischemia after surgery for arch and aortic valve replacement with elephant trunk for plural thoracic aneurysms

A 62-years old man had plural aneurysms from the aortic arch to the descending aorta. Y-grafting had been performed twice for an abdominal aortic aneurysm. We performed the first operation which involved aortic valve and arch replacement under deep hypothermia with selective cerebral perfusion. Duri...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 57; no. 4; p. 325
Main Authors Sakano, Y, Ohki, S, Kamisawa, O, Misawa, Y, Fuse, K
Format Journal Article
LanguageJapanese
Published Japan 01.04.2004
Subjects
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - surgery
Aortic Valve - surgery
Arteriosclerosis - complications
Blood Vessel Prosthesis Implantation
Heart Valve Prosthesis Implantation - methods
Humans
Hypothermia, Induced
Male
Middle Aged
Paraplegia - etiology
Perfusion - methods
Postoperative Complications - etiology
Spinal Cord - blood supply
Spinal Cord Ischemia - etiology
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Summary:A 62-years old man had plural aneurysms from the aortic arch to the descending aorta. Y-grafting had been performed twice for an abdominal aortic aneurysm. We performed the first operation which involved aortic valve and arch replacement under deep hypothermia with selective cerebral perfusion. During the operation, hemodynamics was stable, but after the operation he developed paraplegia due to ischemic change in the spinal cord. It was considered that the cause of the ischemia might have been the changing of the blood supply to the spinal cord. In patients with severe atherosclerosis, the blood supply for the spinal cord needs to be very strictly determined.
ISSN:0021-5252