scholarly journals Rare spinal cord infarction in a patient with acute type B aortic dissection

2017 ◽  
Vol 24 (6) ◽  
pp. 976-977 ◽  
Author(s):  
Yuji Sekine ◽  
Takeshi Nishina ◽  
Yuichi Ueda
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Spinal Cord Infarction ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

Spinal Cord Ischemia in the Setting of Acute Type B Aortic Dissection: Successful Rescue with Thoracic Endovascular Aortic Repair

2021 ◽  
pp. 153857442110451
Author(s):  
Masaki Kano ◽  
Toru Iwahashi ◽  
Toshiya Nishibe ◽  
Kentaro Kamiya ◽  
Hitoshi Ogino
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Medical Management ◽  
Spinal Cord Ischemia ◽  
False Lumen ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

We report 2 cases of successful thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (ABAD) complicated with spinal cord ischemia (SCI). Case 1. A 70-year-old gentleman found with an uncomplicated ABAD with false lumen occluded, developed SCI shortly after admission during the initial medical management. Cerebrospinal fluid drainage (CSFD) was initiated followed by emergent TEVAR. SCI improved, and the patient was discharged. Case 2. A 52-year-old gentleman developed uncomplicated ABAD with patent false lumen. 5 hours after admission, he developed SCI during the initial medical management. Emergent TEVAR was performed followed by CSFD, and the SCI improved before discharge. These cases prompted us to address prompt TEVAR for primary entry closure and true lumen dilatation with postoperative hypertensive management to relieve the dynamic obstruction of the segmental arteries responsible for the compromised spinal cord circulation in complicated ABAD.

Spinal subarachnoid hemorrhage in type B aortic dissection: a rare presentation

2020 ◽  
Vol 28 (3) ◽  
pp. 175-178
Author(s):  
Meenakshi M Subbiah ◽  
Bashi V Velayudhan
Keyword(s):  
Spinal Cord ◽  
Subarachnoid Hemorrhage ◽  
Aortic Dissection ◽  
Spinal Cord Ischemia ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Aortic Diseases ◽  
Rare Presentation ◽  
Spinal Subarachnoid Hemorrhage

Paraplegia is a common complication encountered during surgical and endovascular repair of aortic diseases. At times, it is also a presenting feature of aortic dissection. Involvement of more than one spinal blood supply system is the most common cause of spinal cord ischemia. Proper planning is needed to prevent and treat spinal cord ischemia. We report this rare case of acute type B aortic dissection that presented with paraplegia due to a spinal subarachnoid hemorrhage.

Treatment Methods for Spinal Cord Injury Caused by Acute Type B Aortic Dissection

2006 ◽  
Vol 14 (6) ◽  
pp. e106-e107 ◽  
Author(s):  
Yasuaki Fujisawa ◽  
Kiyofumi Morishita ◽  
Johji Fukada ◽  
Nobuyoshi Kawaharada ◽  
Yoshikazu Hachiro ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Aortic Dissection ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Treatment Methods ◽  
Cord Injury

scholarly journals Delayed Visceral and Spinal Cord Malperfusion after Axillo-Bifemoral Bypass for Complicated Acute Type B Aortic Dissection

2014 ◽  
Vol 7 (3) ◽  
pp. 331-334 ◽  
Author(s):  
Atsushi Morishita ◽  
Hideyuki Tomioka ◽  
Seiichiro Katahira ◽  
Takeshi Hoshino ◽  
Kazuhiko Hanzawa
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

scholarly journals Chronic type B aortic dissection complicated by repetitive spinal cord ischaemia

2020 ◽  
Vol 31 (5) ◽  
pp. 745-747
Author(s):  
Masato Fujimoto ◽  
Hirohisa Murakami ◽  
Hiroshi Tanaka
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
False Lumen ◽  
Spinal Cord Infarction ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Spinal Cord Ischaemia ◽  
The Right ◽  
Segmental Arteries

Abstract Chronic type B aortic dissection complicated by repetitive transient spinal cord ischaemia is rare. Reduced blood flow in the segmental arteries supplying the radicular arteries in the false lumen is the main cause of this pathology. Individual variations in spinal cord circulation are difficult to identify; therefore, the mechanisms of spinal cord ischaemia are poorly understood. We encountered a patient with chronic type B aortic dissection experiencing repetitive spinal cord ischaemia that finally led to spinal cord infarction. The patient recovered, except for mild monoparesis of the right leg. With the growth of the dissected aorta, we planned for surgical treatment to restore the blood supply in the spinal cord. The patient underwent thoraco-abdominal aortic repair using deep hypothermia, and favourable neurological results were achieved.

Surgical treatment of acute type B aortic dissection associated with use of cocaine

2009 ◽  
Vol 150 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Zoltán Szeberin ◽  
Gábor Firneisz ◽  
Gábor Bíró ◽  
Gábor Viktor Szabó ◽  
Péter Sótonyi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

A kokainfogyasztás gyakorisága Magyarországon is növekszik. E drog használata fokozott kockázatot jelent szív- és érrendszeri betegségek kialakulása, például aortadissectio szempontjából. Klinikánkon zajlik hazánkban a B típusú aortadissectiós betegek döntő többségének ellátása. Célkitűzés: Egy rendszeresen kokaint használó, akut B típusú aortadissectiót elszenvedett beteg műtéti kezelését mutatjuk be esetismertetésünkben, amely tudomásunk szerint az első hasonló eset hazánkban. Módszer: Esetleírás. Eredmények: Egy 35 éves férfi erős, mellkasi-háti-deréktáji fájdalmak miatt először a gerincsebészeti osztályhoz fordult, majd kiugróan magas vérnyomásértékek miatt belgyógyászati osztályra helyezték át. A B típusú aortadissectio diagnózisát CT-angiographia igazolta, a beteg érsebészeti centrumba került, ahol sikeres műtétet, thoracoabdominalis aortarefenesztrációt végeztünk. A beteg 3 hónappal a műtét után jól van, antihipertenzív szerek szedése mellett mindennapi feladatait ellátja, szövődményt nem észleltünk, a kokainról leszokott. Következtetések: Az akut B típusú dissectio sebészi ellátása megmentheti a beteg életét. A hosszú távú eredményes kezelésben a hipertónia kontrollja mellett a kokainról történő leszokás alapvető jelentőségű. Hasonló esetek előfordulására a kokainfogyasztás növekedése esetén hazánkban is számíthatunk.

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