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- Title
Spinal Cord Ischemia in the Setting of Acute Type B Aortic Dissection: Successful Rescue with Thoracic Endovascular Aortic Repair.
- Authors
Kano, Masaki; Iwahashi, Toru; Nishibe, Toshiya; Kamiya, Kentaro; Ogino, Hitoshi
- Abstract
We report 2 cases of successful thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (ABAD) complicated with spinal cord ischemia (SCI). Case 1. A 70-year-old gentleman found with an uncomplicated ABAD with false lumen occluded, developed SCI shortly after admission during the initial medical management. Cerebrospinal fluid drainage (CSFD) was initiated followed by emergent TEVAR. SCI improved, and the patient was discharged. Case 2. A 52-year-old gentleman developed uncomplicated ABAD with patent false lumen. 5 hours after admission, he developed SCI during the initial medical management. Emergent TEVAR was performed followed by CSFD, and the SCI improved before discharge. These cases prompted us to address prompt TEVAR for primary entry closure and true lumen dilatation with postoperative hypertensive management to relieve the dynamic obstruction of the segmental arteries responsible for the compromised spinal cord circulation in complicated ABAD.
- Subjects
CALCIUM antagonists; ISCHEMIA; SPINAL cord; INTRAVENOUS therapy; THORACIC surgery; BACKACHE; ADRENERGIC beta blockers; NUMBNESS; ENDOVASCULAR surgery; COMPUTED tomography; CEREBROSPINAL fluid; MEDICAL drainage; AORTIC dissection; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2022, Vol 56, Issue 1, p102
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744211045156