Spinal Cord Ischemia in the Setting of Acute Type B Aortic Dissection: Successful Rescue with Thoracic Endovascular Aortic Repair.
Vasc Endovascular Surg
; 56(1): 102-106, 2022 Jan.
Article
em En
| MEDLINE
| ID: mdl-34541969
ABSTRACT
We report 2 cases of successful thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (ABAD) complicated with spinal cord ischemia (SCI). Case 1. A 70-year-old gentleman found with an uncomplicated ABAD with false lumen occluded, developed SCI shortly after admission during the initial medical management. Cerebrospinal fluid drainage (CSFD) was initiated followed by emergent TEVAR. SCI improved, and the patient was discharged. Case 2. A 52-year-old gentleman developed uncomplicated ABAD with patent false lumen. 5 hours after admission, he developed SCI during the initial medical management. Emergent TEVAR was performed followed by CSFD, and the SCI improved before discharge. These cases prompted us to address prompt TEVAR for primary entry closure and true lumen dilatation with postoperative hypertensive management to relieve the dynamic obstruction of the segmental arteries responsible for the compromised spinal cord circulation in complicated ABAD.
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MEDLINE
Assunto principal:
Aneurisma da Aorta Torácica
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Implante de Prótese Vascular
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Isquemia do Cordão Espinal
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Procedimentos Endovasculares
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Dissecção Aórtica
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article