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Complications arising after thoracic aortic surgery : A case report on an unusual spinal cord infarction. Physiopathological and clinical considerations = Complications de la chirurgie de l'aorte thoracique - à propos d'une forme anatomoclinique rare d'ischémie médullaire - Considérations physiopathologiques et cliniques

DUC S; DELLECI C; BARANDON L; NOZERES A; CUGY E; BARAT M; DEHAIL P
ANN PHYS REHABIL MED , 2013, vol. 56, n° 1, p. 51-62
Doc n°: 161420
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2013.01.002
Descripteurs : AE12 - PATHOLOGIQUE

Even though new prevention techniques have been developed and are being used
during thoraco-abdominal aortic repairs, spinal cord infarction remains a severe
and relatively frequent complication of aortic surgery. Infarctions in the
territory of the anterior spinal artery are considered the most common. Different
clinical pictures related to spinal cord transverse extension wounds are drawn
up. In this paper, we present a case report of a subject having presented an
isolated motor deficit of the lower limbs and a favorable prognosis, suggesting
selective involvement of the anterior horns of the spinal cord subsequent to
surgical repair of an aortic dissection. We wish to review the relevant
anatomical, clinical and diagnostic characteristics along with current techniques of spinal cord ischemia prevention during and after surgery.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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