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Ann Thorac Surg 2001;72:1389-1391
© 2001 The Society of Thoracic Surgeons

Case report

Delayed postoperative paraplegia complicating repair of type A dissection

Benjamin Medalion, MDa, Othman Bder, MDa, Amram J. Cohen, MDa, Eli Hauptman, MDa, Arie Schachner, MDa

a Department of Cardiothoracic Surgery, The E. Wolfson Medical Center, Holon, Israel

Accepted for publication October 17, 2000.

Address reprint requests to Dr Medalion, Department of Cardiothoracic Surgery, The E. Wolfson Medical Center, PO Box 5, Holon 58100, Israel
e-mail: bmedalion{at}yahoo.com

We describe the very rare event of delayed transient paraplegia after repair of type A dissection of the aorta and discuss therapeutic options. We also suggest insertion of a spinal catheter as soon as there are signs or symptoms of spinal cord injury to drain spinal fluid and maximize the effect of elevated spinal cord perfusion pressure.




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