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Prevention of Paraplegia Associated With Resection of Extensive Thoracic Aneurysms
Akio Wakabayashi, MD;
John E. Connolly, MD
Arch Surg. 1976;111(11):1186-1189.
Abstract
• A review of the literature suggests that paraplegia associated with thoracic aortic surgery is preventable if intraoperative hypotension is eliminated, the distal aorta perfused adequately, and the intercostal arteries below T-8 level preserved. A surgical technique has been developed that leaves the posterior aortic wall, preserving the intercostal arteries below the level of T-8, and interspersing a diagonally tailored prosthesis with the aid of left atrial-to-femoral arterial bypass without heparinization. Seven patients with extensive aneurysms involving the entire descending thoracic aorta were operated on successfully by this technique without neurological complications.
(Arch Surg 111:1186-1189, 1976)
Author Affiliations
From the Department of Surgery, University of California at Irvine.
Footnotes
Accepted for publication July 9, 1976.
Read before the 24th scientific meeting of the International Cardiovascular Society, Albuquerque, NM, June 18, 1976.
Reprint requests to Department of Surgery, University of California at Irvine, Irvine, CA 92717 (Dr Connolly).
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