Single-Stage Repair of Thoracic Aortic Aneurysm and Spinal Cord Compression

Document Type

Article

Publication Title

Asian Cardiovascular and Thoracic Annals

Abstract

A ruptured thoracic aortic aneurysm complicated by spinal cord compression resulting in paraparesis although rare, can be a life-threatening condition. Despite treatment, patients may have a permanent disability due to the disease process itself or as a consequence of the surgical procedure. We describe an unusual case of descending thoracic aortic aneurysm complicated by vertebral erosion and paraparesis from spinal cord compression. The patient was successfully management by an interdisciplinary surgical approach utilizing a single-stage procedure comprising replacement of the aorta with a Dacron graft, spinal decompression surgery, and vertebral reconstruction using a titanium mesh cage.

DOI

10.1177/0218492319848617

Publication Date

11-1-2019

Keywords

Aortic aneurysm, blood vessel prosthesis implantation, magnetic resonance imaging, paraplegia, spinal cord compression, thoracic, thoracic vertebrae

ISSN

0218-4923

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