J Korean Soc Vasc Surg.  1999 Apr;15(1):88-93.

Spinal Cord Ischemia Related to Infrarenal Aortic Pathology and Surgical Procedure

• Kim HT
• Cho WH
• Kim HC

Abstract

Ischemic injury of the spinal cord is rare complication of infrarenal aortic pathology or procedure. So many vascular surgeons are unfamiliar to this complication. But once developed, the impact of this complication is unendurable not only to the patient and his or her family but also to the surgeon. The importance of great anterior medullary artery was well known. Recently, the role of pelvic collateral circulation has been emerged and stressed. In Korea, spinal cord ischemia related to infrarenal aortic pathology or surgical procedure was not reported until recently. Authors had experienced two paraplegic patients, one after elective aortobifemoral bypass due to aortoiliac occlusive lesion in 49 years old male and the other due to acute thrombotic occlusion of infrarenal aorta in 40 years old male. To inform the possibility of ischemic cord injury in infrarenal aortic procedure and pathology, we report our experiences with review of literatures.

Keyword

Abdominal aorta; Spinal cord ischemia; Paraplegia

MeSH Terms

Adult
Aorta
Aorta, Abdominal
Arteries
Collateral Circulation
Humans
Korea
Male
Methods*
Middle Aged
Paraplegia
Pathology*
Spinal Cord Ischemia*
Spinal Cord*