Spinal Cord Damage after Aorto-bifemoral Bypass Operation.
10.4326/jjcvs.21.593
- VernacularTitle:腹部大動脈‐両側大腿動脈バイパス術後に発症した脊髄障害についての検討
- Author:
Takaaki SUGITA
;
Syoji WATARIDA
;
Masahiko ONOE
;
Shoichiro SHIRAISHI
;
Takehisa NOJIMA
;
Ryoko TABATA
;
Shuichi MATSUNO
;
Atsumi MORI
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(6):593-596
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man underwent an aorto-bifemoral bypass operation for aorto-iliac arteriosclerotic occlusive disease. The total aortic occlusion time was 38min. Soon after the operation, the patient was found to have motor and sensory loss between right L2 and S1, which did not improve. We considered that spinal cord damage was caused by occlusion of the lumbar artery as a result of side clamping of the atherosclerotic abdominal aorta. Therefore, side clamping of the atherosclerotic aorta should be avoided to prevent this serious complication.