Acute abdominal aortic occlusion associated with transient paraplegia
We describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002211 |
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| author | Florent Porez, MD Antoine Gaudin, MD Dominique Fabre, MD, PhD Alessandro Costanzo, MD Lucas Le Guillou, MD Stéphan Haulon, MD, PhD |
| author_facet | Florent Porez, MD Antoine Gaudin, MD Dominique Fabre, MD, PhD Alessandro Costanzo, MD Lucas Le Guillou, MD Stéphan Haulon, MD, PhD |
| author_sort | Florent Porez, MD |
| collection | DOAJ |
| description | We describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb loss of sensory and motor function. Endovascular recanalization was performed using a covered stent. The patient was discharged 4 days after the procedure with full recovery of neurological symptoms. Rapid aortic endovascular revascularization to restore flow to the pelvis and lower limbs, associated with spinal cord ischemia protocols, is critical for full recovery. |
| format | Article |
| id | doaj-art-1dfe65b520274803b17e931edcba0d67 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-1dfe65b520274803b17e931edcba0d672025-08-20T02:49:08ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-0110610163710.1016/j.jvscit.2024.101637Acute abdominal aortic occlusion associated with transient paraplegiaFlorent Porez, MD0Antoine Gaudin, MD1Dominique Fabre, MD, PhD2Alessandro Costanzo, MD3Lucas Le Guillou, MD4Stéphan Haulon, MD, PhD5Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceDepartment of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceDepartment of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceDepartment of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceDepartment of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceCorrespondence: Stéphan Haulon, MD, PhD, Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris-Saclay, 133 Avenue de la Resistance, Le Plessis Robinson 92350, France; Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, FranceWe describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb loss of sensory and motor function. Endovascular recanalization was performed using a covered stent. The patient was discharged 4 days after the procedure with full recovery of neurological symptoms. Rapid aortic endovascular revascularization to restore flow to the pelvis and lower limbs, associated with spinal cord ischemia protocols, is critical for full recovery.http://www.sciencedirect.com/science/article/pii/S2468428724002211 |
| spellingShingle | Florent Porez, MD Antoine Gaudin, MD Dominique Fabre, MD, PhD Alessandro Costanzo, MD Lucas Le Guillou, MD Stéphan Haulon, MD, PhD Acute abdominal aortic occlusion associated with transient paraplegia Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Acute abdominal aortic occlusion associated with transient paraplegia |
| title_full | Acute abdominal aortic occlusion associated with transient paraplegia |
| title_fullStr | Acute abdominal aortic occlusion associated with transient paraplegia |
| title_full_unstemmed | Acute abdominal aortic occlusion associated with transient paraplegia |
| title_short | Acute abdominal aortic occlusion associated with transient paraplegia |
| title_sort | acute abdominal aortic occlusion associated with transient paraplegia |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002211 |
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