Abstract
Frozen elephant trunk repair is a technique described to simplify total arch repair for Stanford type A aortic dissection. Spinal cord ischemia is a devastating complication after frozen elephant trunk repair. In this report, we describe a case of spinal cord ischemia resulting in paralysis after frozen elephant trunk repair. Our spinal cord ischemia protocol was implemented and rescued patients from paraplegia. We report a dedicated spinal cord ischemia protocol that can rescue patients from paraplegia after hybrid arch repair with frozen elephant trunk.
Copyright © 2020 Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / physiopathology
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / physiopathology
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Aortic Dissection / surgery*
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Blood Vessel Prosthesis Implantation / adverse effects
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Blood Vessel Prosthesis Implantation / instrumentation
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Endovascular Procedures / adverse effects*
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Endovascular Procedures / instrumentation
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Female
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Humans
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Paraplegia / etiology
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Paraplegia / physiopathology
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Paraplegia / therapy
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Recovery of Function
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Spinal Cord Ischemia / diagnostic imaging
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Spinal Cord Ischemia / etiology
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Spinal Cord Ischemia / physiopathology
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Spinal Cord Ischemia / therapy*
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Time Factors
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Treatment Outcome