Graupe F, Badke A, Taleb N, Mackrodt H G, Stock W
Chirurgische Abteilung, Marien-Hospitals Düsseldorf.
Vasa. 1994;23(2):151-4.
Ischemic spinal lesions following graft replacement of an infrarenal aortic aneurysm are rare complications. Even more rare is the development of this complication in case of aortoiliac occlusive disease. We report one further case who developed transient paraplegia following sigma resection six years after implantation of an aortobifemoral bifurcation graft because of aortoiliac occlusive disease. The abdominal vessel and the collateral situation of this site of the caudal aorta is discussed and the possibility of late ischemic spinal lesions is pointed out.
肾下腹主动脉瘤移植置换术后发生缺血性脊髓病变是罕见的并发症。在主髂动脉闭塞性疾病患者中发生这种并发症的情况更为罕见。我们报告了另外一例因主髂动脉闭塞性疾病在植入主动脉双股分叉移植物六年后行乙状结肠切除术后出现短暂性截瘫的病例。本文讨论了腹主动脉血管及尾段主动脉该部位的侧支循环情况,并指出了迟发性缺血性脊髓病变的可能性。