Spinal Cord Ischemia Related to Infrarenal Aortic Pathology and Surgical Procedure.
- Author:
Hyoung Tae KIM
1
;
Won Hyun CHO
;
Hyun Chul KIM
Author Information
1. Department of Surgery, Keimyung University School of Medicine and Hanil Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Abdominal aorta;
Spinal cord ischemia;
Paraplegia
- MeSH:
Adult;
Aorta;
Aorta, Abdominal;
Arteries;
Collateral Circulation;
Humans;
Korea;
Male;
Methods*;
Middle Aged;
Paraplegia;
Pathology*;
Spinal Cord Ischemia*;
Spinal Cord*
- From:Journal of the Korean Society for Vascular Surgery
1999;15(1):88-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic injury of the spinal cord is rare complication of infrarenal aortic pathology or procedure. So many vascular surgeons are unfamiliar to this complication. But once developed, the impact of this complication is unendurable not only to the patient and his or her family but also to the surgeon. The importance of great anterior medullary artery was well known. Recently, the role of pelvic collateral circulation has been emerged and stressed. In Korea, spinal cord ischemia related to infrarenal aortic pathology or surgical procedure was not reported until recently. Authors had experienced two paraplegic patients, one after elective aortobifemoral bypass due to aortoiliac occlusive lesion in 49 years old male and the other due to acute thrombotic occlusion of infrarenal aorta in 40 years old male. To inform the possibility of ischemic cord injury in infrarenal aortic procedure and pathology, we report our experiences with review of literatures.
