EJVES Extra
Volume 17, Issue 3 , Pages 29-31 , March 2009

Neurological Deficit Secondary to Spinal Cord Ischaemia after Infrarenal Abdominal Aortic Repair for Aorto-Iliac Occlusive Disease: A Case Report

  • M.A.J. van den Broek

      Affiliations

    • Department of Surgery, Atrium Medical Centre Parkstad, Henri Dunantstraat 5, 6419 PC, Heerlen, The Netherlands
    • Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands
  • ,
  • R.J. Nijenhuis

      Affiliations

    • Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands
  • ,
  • W.H. Backes

      Affiliations

    • Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands
  • ,
  • J.A.W. Teijink

      Affiliations

    • Department of Surgery, Atrium Medical Centre Parkstad, Henri Dunantstraat 5, 6419 PC, Heerlen, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 45 5766599; fax: +31 45 5766881.

Received 14 August 2008 ,Accepted 28 November 2008.

References 

  1. Gloviczki P, Cross SA, Stanson AW, Carmichael SW, Bower TC, Pairolero PC, et al. Ischemic injury to the spinal cord or lumbosacral plexus after aorto-iliac reconstruction. Am J Surg. 1991;162:131–136
  2. Rosenthal D. Spinal cord ischemia after abdominal aortic operation: is it preventable?. J Vasc Surg. 1999;30:391–397
  3. Nijenhuis RJ, Jacobs MJ, Schurink GW, Kessels AG, van Engelshoven JM, Backes WH. Magnetic resonance angiography and neuromonitoring to assess spinal cord blood supply in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 2007;45:71–77[discussion 77–8]
  4. Gorecki JP, Ameli FM. Ischemic damage to the spinal cord following end-to-side aortobifemoral bypass. Ann Vasc Surg. 1993;7:569–576
  5. Picone AL, Green RM, Ricotta JR, May AG, DeWeese JA. Spinal cord ischemia following operations on the abdominal aorta. J Vasc Surg. 1986;3:94–103
  6. McGarvey ML, Cheung AT, Szeto W, Messe SR. Management of neurologic complications of thoracic aortic surgery. J Clin Neurophysiol. 2007;24:336–343

 This report is based on a case that was presented at the case presentation session of the 22nd European Society for Vascular Surgery Meeting, September 2008, Nice, France.

PII: S1533-3167(08)00035-6

doi: 10.1016/j.ejvsextra.2008.11.009

EJVES Extra
Volume 17, Issue 3 , Pages 29-31 , March 2009