Key result
Coarctation of the aorta repair was followed by the unusual complication of delayed spinal cord injury, with paraparesis developing 5 days post-surgery.
Why the study?
Paraparesis is an uncommon complication of aortic cross-clamping during coarctation of aorta repair, with only sporadic case reports describing paraplegia following recurrent and technically challenging repairs.
Case Report (n=1)
Highlights the rare but severe complication of delayed paraparesis following coarctation of the aorta repair, emphasizing the need for spinal cord protection strategies.
May support vigilance for delayed paraparesis after coarctation repair; hypothesis-generating for spinal protection strategies.
Paraparesis following cardiac surgery is a manifestation of spinal cord injury (SCI). It can occur in any aortic surgery from the aneurysm to the coarctation of the aorta (CoA) where the cross-clamp of the aorta is applied. Though the incidence of paraplegia is low, its occurrence affects the morbidity and mortality of the patient. There are only sporadic case reports on the development of paraplegia following recurrent and technically challenging repair of CoA. However, the spontaneous development of paraplegia has also been reported in cases of unoperated CoA. The present report describes the case of delayed SCI in which paraparesis developed 5 days post a coarctation repair. The risk factors and strategies to protect the spinal cord during aortic surgeries are emphasized.
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Arasu et al. (2024) conducted a case report in Coarctation of the aorta (n=1). Coarctation of aorta repair was evaluated on Delayed paraparesis. Coarctation of the aorta repair was followed by the unusual complication of delayed spinal cord injury, with paraparesis developing 5 days post-surgery.
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