Surgical Treatment of Acute Thoracic Stent Graft Occlusion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30028980.
- Also identified by DOI 10.1016/j.athoracsur.2018.05.099.
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Abstract
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.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Graft Occlusion, Vascular
- Paraplegia
- Stents