Lei Yu
China
Case Report
Sudden-Onset Paraplegia and Ischemia of the Lower Extremities from Acute Aortic Occlusion following Type A Acute Dissection
Author(s): Lei Yu, Tianxiang Gu, Enyi Shi and Qin FangLei Yu, Tianxiang Gu, Enyi Shi and Qin Fang
Herein, we report the case of a 51-year-old man who presented with sudden-onset paraplegia and ischemia of lower extremities, with low back pain. CT scanning revealed Type A acute dissection with occlusion of the infrarenal abdominal aorta and bilateral iliac arteries. A lumbar catheter was inserted for cerebrospinal fluid drainage and we repaired Type A aortic dissection with ascending aorta and total arch replacement combined with stent-graft elephant trunk technique by using innominate cannulation and an aorto-femoral bypass. On postoperative day three, ischaemic symptoms including paraplegia totally disappeared and he was discharged from the hospital on postoperative day 44. .. View More»
DOI:
10.4172/2329-6607.S1-004