Late neurological recovery of paraplegia after endovascular repair of an infected thoracic aortic aneurysm

J Vasc Surg. 2013 Feb;57(2):521-4. doi: 10.1016/j.jvs.2012.08.066. Epub 2012 Nov 10.

Abstract

Spinal cord ischemia is a potentially devastating complication after thoracic endovascular aorta repair (TEVAR). Patients with spinal cord ischemia after TEVAR often develop paraplegia, which is considered irreversible, and have significant increased postoperative morbidity and mortality. We report the case of a patient with unusual late complete neurologic recovery of acute-onset paraplegia after TEVAR for an infected thoracic aortic aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / microbiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Endovascular Procedures / adverse effects*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neurologic Examination
  • Paraplegia / diagnosis
  • Paraplegia / etiology*
  • Paraplegia / physiopathology
  • Paraplegia / rehabilitation
  • Pneumococcal Infections / diagnostic imaging
  • Pneumococcal Infections / microbiology
  • Pneumococcal Infections / surgery*
  • Recovery of Function
  • Spinal Cord Ischemia / diagnosis
  • Spinal Cord Ischemia / etiology*
  • Spinal Cord Ischemia / physiopathology
  • Spinal Cord Ischemia / rehabilitation
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome