An unusual cause of spinal cord ischemia after thoracic endovascular repair

Issam Koleilat, Erin Moore, Tod Hanover, John Eidt

Research output: Contribution to journalArticle

Abstract

A 59-year-old left-handed man presented with chest pain and hypertension and was found to have an acute descending aortic dissection on imaging. After thoracic endovascular repair of the dissection, he developed left arm weakness and ischemia. Despite carotid-subclavian transposition, the patient was found to have persistent left triceps weakness as well as bilateral leg paresis. An urgent spinal drain was placed that improved his lower extremity deficit but did not greatly change his arm symptoms. Magnetic resonance imaging of the spine revealed previously undiagnosed severe multilevel spinal stenosis requiring operative decompression. To our knowledge, this is the first report of the contribution of cervical spinal stenosis to post-thoracic endovascular repair spinal ischemia.

Original languageEnglish (US)
Pages (from-to)194-196
Number of pages3
JournalVascular
Volume24
Issue number2
DOIs
StatePublished - Apr 1 2016

Keywords

  • Aortic dissection
  • TEVAR
  • spinal ischemia

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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