TY - JOUR
T1 - Surgical Treatment of Acute Thoracic Stent Graft Occlusion
AU - Liesdek, Omayra C.D.
AU - Jacob, Kirolos A.
AU - Vink, Aryan
AU - Vermeulen, Marijn A.
AU - Hazenberg, Constantijn E.V.B.
AU - Suyker, Willem J.L.
N1 - Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - A 24-year-old man presented with acute onset paraplegia related to complete occlusion of a thoracic stent graft placed 2 years prior for repair of traumatic type B aortic dissection. Following emergency surgery comprising reestablishment of aortic flow by stent removal and aortic reconstruction, the paraplegia started to resolve partly, despite an estimated 5-hour interval of preoperative myelum ischemia. Anatomical characteristics of the stent graft placement appear to have played a role in causing this rare complication. Six months later, the patient could walk again with a stick. This case shows that early intervention in cases of full paraplegia may be considered.
AB - A 24-year-old man presented with acute onset paraplegia related to complete occlusion of a thoracic stent graft placed 2 years prior for repair of traumatic type B aortic dissection. Following emergency surgery comprising reestablishment of aortic flow by stent removal and aortic reconstruction, the paraplegia started to resolve partly, despite an estimated 5-hour interval of preoperative myelum ischemia. Anatomical characteristics of the stent graft placement appear to have played a role in causing this rare complication. Six months later, the patient could walk again with a stick. This case shows that early intervention in cases of full paraplegia may be considered.
UR - http://www.scopus.com/inward/record.url?scp=85059486665&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2018.05.099
DO - 10.1016/j.athoracsur.2018.05.099
M3 - Article
C2 - 30028980
SN - 0003-4975
VL - 107
SP - e127-e129
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -