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Ann Thorac Surg 2002;73:1971-1973
© 2002 The Society of Thoracic Surgeons

Case report

Anterior spinal artery syndrome after elective coronary artery bypass grafting

Thomas E. Geyer, MRCSa*, Madhava J. Naik, FRCSa, Ravi Pillai, FRCSa

a Heart Center, John Radcliffe Hospital, Headington, Oxford, United Kingdom

Accepted for publication December 5, 2001.

* Address reprint requests to Dr Geyer, 1 St. Mary’s Way, Guildford, Surrey GU2 8JY United Kingdom
e-mail: tomy{at}gohip.com

A 65-year-old patient with ischemic heart disease and hypertensive nephropathy had paraplegia develop after elective coronary artery revascularization caused by anterior spinal infarction. Spinal complications are rare after coronary artery bypass grafting. The possible mechanisms of spinal cord injury are discussed, and the relevant literature is reviewed.




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