[MEP-30] A Case Report of Newly Developed Paraplegia After Acute Type A Aortic Dissection Repair

Area of Science:

• Cardiovascular Surgery
• Neurology
• Critical Care Medicine

Background:

• Stanford type A aortic dissection carries high risks of mortality, morbidity, and postoperative complications.
• Paraplegia is a rare but severe neurological complication following aortic dissection repair.

Purpose of the Study:

• To report a case of acute paraplegia after Stanford type A aortic dissection repair.
• To evaluate the efficacy of cerebrospinal fluid drainage in managing postoperative paraplegia.

Main Methods:

• A 55-year-old male patient developed paraplegia postoperatively.
• Medical therapy was initiated, followed by cerebrospinal fluid drainage due to persistent neurological deficit.
• Neurological function was monitored closely.

Main Results:

• The patient experienced acute paraplegia after surgery for Stanford type A aortic dissection.
• Despite medical management and hemodynamic stability, neurological deficits persisted for 24 hours.
• Cerebrospinal fluid drainage led to a full neurological recovery within 5 hours.

Conclusions:

• Postoperative paraplegia following aortic dissection, though rare, can be a reversible neurological complication.
• Cerebrospinal fluid drainage may be an effective intervention for managing persistent paraplegia when hemodynamic stability is maintained.