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Ann Thorac Surg 1982;33:81-85
© 1982 The Society of Thoracic Surgeons

Articles

Anterior Spinal Artery Syndrome with Chronic Traumatic Thoracic Aortic Aneurysm

Vincent R. Conti, M.D.*, John Calverley, M.D., William L. Safley, M.D., Melinda Estes, M.D., Edward H. Williams, M.D.

From the Department of Surgery, Division of Cardiothoracic Surgery, and the Department of Neurology, The University of Texas Medical Branch, Galveston, TX.

Accepted for publication January 8, 1981.

* Address reprint requests to Dr. Conti, Division of Cardiothoracic Surgery, The University of Texas Medical Branch, Galveston, TX 77550.

Shortly after severe blunt chest trauma, a young man experienced neurological symptoms suggestive of a spinal cord lesion at the lower thoracic level. The symptoms resolved at first, but then recurred 3 years later and progressed slowly. Neurological workup failed to define the cause until a thoracic aortogram showed an aneurysm in the middle portion of the descending aorta in close proximity to a vessel supplying the anterior spinal artery. After the operative repair with precautions taken to avoid further neurological injury, the neurological deficit resolved partially. Because of the potential for symptomatic spinal cord ischemia resulting from lesions of the aorta, angiographic delineation of the spinal cord blood supply is valuable in planning operative repair.




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P. Russo, T. A. Orszulak, P. G. Arnold, M. D. Abel, and A. W. Stanson
Concomitant Repair of a Chronic Traumatic Aortic Aneurysm with Tracheal Erosion
Ann. Thorac. Surg., May 1, 1987; 43(5): 559 - 560.
[Abstract] [PDF]


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