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Ann Thorac Surg 1996;62:1532-1534
© 1996 The Society of Thoracic Surgeons

Case Report

Spinal Cord Infarct After Arterial Switch Associated With an Umbilical Artery Catheter

Robert P. Lemke, MD, Nnanake Idiong, MD, Saad Al-Saedi, MD, Niels G. Giddins, MD, Cameron Ward, MD, Andrew Hamilton, MD, Lois Hawkins, MN, Betty J. Hancock, MD, Jonah N. K. Odim, MD, PhD

Variety Children's Heart Center, Winnipeg, Manitoba, Canada

Accepted for publication June 4, 1996.

Paraplegia after an open heart operation in a neonate is a rare complication. We report a case of a infant in whom paraplegia developed after a successful arterial switch operation for transposition of the great arteries. The infant was monitored and resuscitated in the preoperative period with umbilical arterial and venous catheter tips located in the midthoracic region. He likely suffered a clinically silent thromboembolic event predisposing him to a localized hemorrhagic infarction during the repair.






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