Single-Stage Repair of Thoracic Aortic Aneurysm and Spinal Cord Compression
Asian Cardiovascular and Thoracic Annals
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.
Aortic aneurysm, blood vessel prosthesis implantation, magnetic resonance imaging, paraplegia, spinal cord compression, thoracic, thoracic vertebrae
Kumar A, Shiwalkar N, Persaud P, Haridas AK. Single-Stage Repair of Thoracic Aortic Aneurysm and Spinal Cord Compression. Asian Cardiovascular and Thoracic Annals. 2019; 27(9). doi: 10.1177/0218492319848617.