A Case of Emergency Ascending Aorta Replacement for Paraplegia Caused by Stanford Type A Acute Aortic Dissection
10.4326/jjcvs.40.236
- VernacularTitle:Stanford A 型急性大動脈解離に合併した対麻痺に対し緊急手術が有効であった1例
- Author:
Ryohei Matsuura
;
Nobuo Sakagoshi
;
Kenta Masada
;
Yasuhisa Shimazaki
- Publication Type:Journal Article
- Keywords:
type A acute aortic dissection;
paraplegia;
spinal ischemia;
emergency operation;
replacement of the ascending aorta
- From:Japanese Journal of Cardiovascular Surgery
2011;40(5):236-239
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of type A acute aortic dissection with paraplegia which was cured immediately after an emergency operation. A 79-year-old woman was transferred to our institution with sudden back pain and paraplegia. Computed tomographic scans revealed a cardiac tamponade with an acute type A aortic dissection. She went into shock soon after arrival, and about 4 hours from onset we performed an emergency replacement of the ascending aorta. Three hours after the operation, her neurological deficit gradually resolved and could walk by postoperative day 3. This case suggests that early restoration of the blood flow to the spinal cord is mandatory to relieve paraplegia caused by type A aortic dissection.
