Late paraparesis as a postoperative complication in a patient undergoing the repair of a double aortic aneurysm

• Published in: Angiologia Vol. 45; no. 6; p. 195
• Main Authors: Bonome González, C, Alvarez Refojo, F, Fernández Carballal, F, Rodríguez Alvarez, R
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.11.1993
• Subjects: Anastomosis, Surgical; Aorta, Abdominal - surgery; Aorta, Thoracic - surgery; Aortic Aneurysm, Abdominal - complications; Aortic Aneurysm, Abdominal - surgery; Aortic Aneurysm, Thoracic - complications; Aortic Aneurysm, Thoracic - surgery; Femoral Artery - surgery; Humans; Hypotension - complications; Hypotension - etiology; Intraoperative Complications - etiology; Intraoperative Complications - therapy; Male; Middle Aged; Paraplegia - etiology; Paraplegia - therapy; Postoperative Complications - etiology; Postoperative Complications - therapy; Time Factors
• ISSN: 0003-3170

We report a case of a fifty-seven (57)-years old man undergoing elective surgery of a thoracoabdominal and aortoiliac aneurysm in a single surgical time. The patients is operated undergoing general anesthetic combined with thoracic epidural blockade, and it was done two aortic cross-clamping: one to five cm of the aortic arch and the other to the infrarenal level. The most important intraoperative complications were during the thoracic aortic cross-clamping and the most important postoperative complication was related 48 hours later, to paraparesis after a hypotension episode what improved with rehabilitation treatment.