Related Experiment Video
Updated: Dec 10, 2025
08:10
Reproducible Motor Deficit Following Aortic Occlusion in a Rat Model Of Spinal Cord Ischemia
Published on: July 22, 2017
7.4K
Delayed-Onset Postoperative Paraplegia in Acute Type A Aortic Dissection.
Alessandro Leone1, Gregorio Gliozzi1, Luca Di Marco1
1Cardiac Surgery Unit, Cardiothoracic and Vascular Department, Sant'Orsola Hospital, Bologna University, Bologna, Italy.
The Annals of Thoracic Surgery
|September 4, 2020
Summary
Type A aortic dissection surgery can lead to spinal cord injury (SCI) due to factors like prolonged arrest. This case highlights delayed SCI, emphasizing the need for vigilant monitoring post-surgery.
Area of Science:
- Cardiovascular Surgery
- Neurology
- Aortic Diseases
Background:
- Type A aortic dissection requires complex surgical repair, often involving the ascending aorta and hemiarch.
- Spinal cord injury (SCI) is a serious complication following aortic dissection surgery, linked to circulatory arrest, hypoperfusion, and aortic remodeling.
- Neuroprotective strategies and minimizing operative time are key to reducing SCI risk.
Observation:
- This report details a rare case of delayed-onset SCI in a 77-year-old woman.
- The patient underwent ascending aorta and hemiarch replacement for type A aortic dissection.
- Paraplegia developed on postoperative day 12, suggesting subacute aortic remodeling as a potential cause.
Findings:
- Delayed paraplegia can occur weeks after aortic dissection repair.
- Subacute aortic remodeling may contribute to late-onset SCI.
- This case underscores the importance of recognizing delayed neurological complications.
Implications:
- Vigilant neurological monitoring is essential in the postoperative period for patients undergoing aortic dissection repair.
- Further research into the mechanisms of delayed SCI after aortic surgery is warranted.
- Optimizing perioperative management and considering late aortic changes may improve patient outcomes.
Related Concept Videos
01:22Aneurysm IV: Nursing Management
269
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
269
01:23Peripheral Artery Disease V: Postoperative Nursing Management
197
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
197
01:26Aneurysm III: Interprofessional Care
150
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
150
01:15Aortic Regurgitation I: Introduction
282
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
282
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
114
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
114