A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection

Selma El Hag; Susan Shafii; Elizabeth Hartman; Andrew Grande; Michael S. Rosenberg; Ramachandra Tummala; Gabriel Loor; Rumi Faizer

doi:10.1016/j.avsg.2020.04.031

A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection

Selma El Hag, Susan Shafii, Elizabeth Hartman, Andrew Grande, Michael S. Rosenberg, Ramachandra Tummala, Gabriel Loor, Rumi Faizer

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients. We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory, as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.

Original language	English (US)
Pages (from-to)	570.e1-570.e4
Journal	Annals of Vascular Surgery
Volume	68
DOIs	https://doi.org/10.1016/j.avsg.2020.04.031
State	Published - Oct 2020

PubMed: MeSH publication types

Case Reports

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access

10.1016/j.avsg.2020.04.031

OpenUrl availability

Full text

Cite this

El Hag, S., Shafii, S., Hartman, E., Grande, A., Rosenberg, M. S., Tummala, R., Loor, G., & Faizer, R. (2020). A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection. Annals of Vascular Surgery, 68, 570.e1-570.e4. https://doi.org/10.1016/j.avsg.2020.04.031

A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection. / El Hag, Selma; Shafii, Susan; Hartman, Elizabeth et al.
In: Annals of Vascular Surgery, Vol. 68, 10.2020, p. 570.e1-570.e4.

Research output: Contribution to journal › Article › peer-review

El Hag, S, Shafii, S, Hartman, E, Grande, A , Rosenberg, MS , Tummala, R, Loor, G & Faizer, R 2020, 'A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection', Annals of Vascular Surgery, vol. 68, pp. 570.e1-570.e4. https://doi.org/10.1016/j.avsg.2020.04.031

@article{3b1a203502ad4b7890f3f6bc9a4527a7,

title = "A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection",

abstract = "Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients. We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory, as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.",

author = "{El Hag}, Selma and Susan Shafii and Elizabeth Hartman and Andrew Grande and Rosenberg, {Michael S.} and Ramachandra Tummala and Gabriel Loor and Rumi Faizer",

year = "2020",

month = oct,

doi = "10.1016/j.avsg.2020.04.031",

language = "English (US)",

volume = "68",

pages = "570.e1--570.e4",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection

AU - El Hag, Selma

AU - Shafii, Susan

AU - Hartman, Elizabeth

AU - Grande, Andrew

AU - Rosenberg, Michael S.

AU - Tummala, Ramachandra

AU - Loor, Gabriel

AU - Faizer, Rumi

PY - 2020/10

Y1 - 2020/10

N2 - Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients. We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory, as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.

AB - Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients. We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory, as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.

UR - http://www.scopus.com/inward/record.url?scp=85085623753&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85085623753&partnerID=8YFLogxK

U2 - 10.1016/j.avsg.2020.04.031

DO - 10.1016/j.avsg.2020.04.031

M3 - Article

C2 - 32339676

AN - SCOPUS:85085623753

SN - 0890-5096

VL - 68

SP - 570.e1-570.e4

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection

Abstract

PubMed: MeSH publication types

UN SDGs

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this