Nishijima Shuhei, Nakamura Yoshitsugu, Yoshiyama Daiki, Yasumoto Yuto, Ito Yujiro
Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, Matsudo, Chiba, Japan.
J Vasc Surg Cases Innov Tech. 2022 Dec 16;9(1):101078. doi: 10.1016/j.jvscit.2022.11.015. eCollection 2023 Mar.
Spinal cord ischemia is a rare but catastrophic complication of elective endovascular abdominal aortic aneurysm repair. We report a case of delayed spinal cord ischemia after the elective endovascular repair of an infrarenal aortic aneurysm in a patient who previously underwent lumboperitoneal shunting. This case demonstrates that spinal cord ischemia could cause the inability to control spinal cord pressure and that patients who undergo endovascular aortic repair with lumboperitoneal shunting may be more vulnerable to spinal cord ischemia. This case report also suggests that spinal cord pressure can be a major contributor to spinal cord ischemia.
脊髓缺血是择期血管内腹主动脉瘤修复术一种罕见但灾难性的并发症。我们报告了一例在先前接受腰腹膜分流术的患者中，择期血管内修复肾下腹主动脉瘤后发生延迟性脊髓缺血的病例。该病例表明，脊髓缺血可导致无法控制脊髓压力，并且接受腰腹膜分流术的血管内主动脉修复患者可能更容易发生脊髓缺血。本病例报告还提示，脊髓压力可能是脊髓缺血的主要促成因素。
