Development of stroke-induced quadriplegia after endovascular repair of blunt aortic injury pseudoaneurysm.
Neurosciences (Riyadh)
; 20(1): 52-4, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25630782
ABSTRACT
Endovascular repair of blunt aortic injury is now a first-line approach in management. This can warrant coverage of the left subclavian artery (LSA), which could lead to posterior strokes. In this case report, we present a severe complication of endovascular repair of a traumatic aortic aneurysm. A 53-year-old man presented with blunt aortic injury, endovascular repair was carried out where the left subclavian artery was covered. The intervention had a 100% technical success. Twelve hours later, he was discovered to have quadriplegia, a CT scan showed a large left cerebellar infarction extending to the medulla oblongata and proximal spinal cord. Strokes complicate 3% of thoracic endovascular aortic repairs, 80% of those strokes occur in patients who had their LSA`s covered. Most patients however, tolerate the coverage. Although our patient had a dominant right vertebral artery, and lacked risks for these strokes, he developed an extensive stroke that left him quadriplegic.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Quadriplegia
/
Artéria Subclávia
/
Falso Aneurisma
/
Acidente Vascular Cerebral
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Neurosciences (Riyadh)
Assunto da revista:
NEUROLOGIA
Ano de publicação:
2015
Tipo de documento:
Article