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Ann Thorac Surg 1978;25:164-166
© 1978 The Society of Thoracic Surgeons


Articles

Paraplegia Following Intraaortic Balloon Assistance

Denis H. Tyras, M.D.*, Vallee L. Willman, M.D.

Department of Surgery, Saint Louis University Medical School, St. Louis, MO.

Accepted for publication July 6, 1977.

* Address reprint requests to Dr. Tyras, Department of Surgery, 1325 S Grand Blvd, St. Louis, MO 63104

In a patient receiving intraaortic balloon counterpulsation following myocardial revascularization, paraplegia developed two days postoperatively. Postmortem examination demonstrated a dissecting hematoma of the thoracic aorta and spinal cord infarction. The neurological deficit is thought to be due to embarrassment of spinal cord blood supply, and mechanisms of injury are discussed.




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