Key result
A 67-year-old man with a ruptured Type B aortic dissection survived urgent thoracic endovascular stenting but developed paraplegia due to spinal cord ischaemia despite preventative measures.
Why the study?
Acute aortic dissection carries high mortality and is challenging to treat, with post-intervention spinal cord ischaemia remaining a significant clinical concern.
Case Report (n=1)
No
This case report highlights the severe complication of paraplegia due to spinal cord ischaemia following TEVAR for a ruptured Type B aortic dissection, despite the use of preventative measures.
Spinal cord ischaemia can cause paraplegia after TEVAR for ruptured Type B dissection despite prevention; this case leaves open optimal protective strategies.
This case report illustrates the complexity and severity of acute aortic dissection. This condition has one of the highest mortality rates of any cardiovascular emergency and is often extremely challenging to treat with both open and endovascular intervention often required. This patient presented with a ruptured aortic dissection which is rare and often immediately fatal. He survived urgent extensive aortic endovascular stenting, but, despite preventative measures, developed spinal cord ischaemia post-intervention. The contemporary management of acute aortic dissection, and the pathophysiology and prevention of spinal cord ischaemia are covered in this fantastic case report.
No takes yet. Share an insight, caveat, or question.
Prachee et al. (2020) conducted a case report in Type B aortic dissection (n=1). Thoracic Endovascular Repair of Aneurysm (TEVAR) was evaluated on Spinal cord ischaemia and paraplegia. A 67-year-old man with a ruptured Type B aortic dissection survived urgent thoracic endovascular stenting but developed paraplegia due to spinal cord ischaemia despite preventative measures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: