Reversal of renal failure and paraplegia after thoracoabdominal aneurysm repair.

作者信息

Widmann M D, DeLucia A, Sharp J, Richenbacher W E

机构信息

Division of Cardiothoracic and Vascular Surgery, The University of Iowa Hospitals and Clinics, Iowa City 52242-1062, USA.

出版信息

Ann Thorac Surg. 1998 Apr;65(4):1153-5. doi: 10.1016/s0003-4975(98)00040-x.

DOI:10.1016/s0003-4975(98)00040-x

PMID:9564954

Abstract

Repair of ruptured thoracoabdominal aortic aneurysms is complicated by high rates of perioperative paraplegia, renal insufficiency, and mortality. This report describes a patient with a ruptured thoracoabdominal aortic aneurysm in whom preoperative acute renal failure was reversed with hemodialysis, aortic replacement, and renal revascularization. Prompt cerebrospinal fluid drainage reversed delayed-onset postoperative paraplegia and led to immediate, complete neurologic recovery.

摘要