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Ann Thorac Surg 2007;84:1738-1740. doi:10.1016/j.athoracsur.2007.05.076
© 2007 The Society of Thoracic Surgeons
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Kenji Okada
Yutaka Okita
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Case Reports

Three Cases of Newly Developed Paraplegia After Repairing Type A Acute Aortic Dissection

Yujiro Kawanishi, MD, Kenji Okada, MD, Keitaro Nakagiri, MD, Atsushi Kitagawa, MD, Hiroshi Tanaka, MD, Masamichi Matsumori, MD, Yutaka Okita, MD*

Division of Cardiovascular, Thoracic, and Pediatric Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

Accepted for publication May 30, 2007.

* Address correspondence to Dr Okita, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe City, Hyogo, 650-0017, Japan (Email: yokita{at}med.kobe-u.ac.jp).

Postoperative paraplegia after repairing type A acute aortic dissection has been rarely reported and the causes have not been clearly elucidated. We had three cases of newly developed paraplegia after repair of type A acute aortic dissection. In these cases, we speculated that some intercostal arteries were occluded by completely thrombosed false lumen with late onset of systemic hypotension, which might have reduced spinal cord perfusion followed by paraplegia.






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Copyright © 2007 by The Society of Thoracic Surgeons.