Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports

We report a comparison of two cases regarding subjects who underwent thoracoabdominal aorta aneurysmectomy. During the procedure we monitored cerebrospinal fluid lactate concentration. One patient experienced postoperative paraplegia and his cerebrospinal fluid lactate concentration was much higher...

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Main Authors: Enrico Giustiniano, Silvia Eleonora Malossini, Francesco Pellegrino, Franco Cancellieri
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2013/925739
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author Enrico Giustiniano
Silvia Eleonora Malossini
Francesco Pellegrino
Franco Cancellieri
author_facet Enrico Giustiniano
Silvia Eleonora Malossini
Francesco Pellegrino
Franco Cancellieri
author_sort Enrico Giustiniano
collection DOAJ
description We report a comparison of two cases regarding subjects who underwent thoracoabdominal aorta aneurysmectomy. During the procedure we monitored cerebrospinal fluid lactate concentration. One patient experienced postoperative paraplegia and his cerebrospinal fluid lactate concentration was much higher than that in the other case, whose postoperative outcome was uneventful. Consequently we consider that monitoring the lactate concentration in cerebrospinal fluid during thoracic aorta surgical procedures may be a helpful tool to predict the ischemic spine-cord injury allowing for trying to recover it precociously.
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institution Kabale University
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language English
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series Case Reports in Anesthesiology
spelling doaj-art-7b2f275a9a83480a9695e119b474067a2025-02-03T05:51:37ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/925739925739Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case ReportsEnrico Giustiniano0Silvia Eleonora Malossini1Francesco Pellegrino2Franco Cancellieri3Department of Anesthesia and Intensive Care Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089 Rozzano, ItalyDepartment of Anesthesia and Intensive Care Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089 Rozzano, ItalyDepartment of Anesthesia and Intensive Care Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089 Rozzano, ItalyDepartment of Anesthesia and Intensive Care Unit, Humanitas Clinical and Research Center, Via Manzoni 56, 20089 Rozzano, ItalyWe report a comparison of two cases regarding subjects who underwent thoracoabdominal aorta aneurysmectomy. During the procedure we monitored cerebrospinal fluid lactate concentration. One patient experienced postoperative paraplegia and his cerebrospinal fluid lactate concentration was much higher than that in the other case, whose postoperative outcome was uneventful. Consequently we consider that monitoring the lactate concentration in cerebrospinal fluid during thoracic aorta surgical procedures may be a helpful tool to predict the ischemic spine-cord injury allowing for trying to recover it precociously.http://dx.doi.org/10.1155/2013/925739
spellingShingle Enrico Giustiniano
Silvia Eleonora Malossini
Francesco Pellegrino
Franco Cancellieri
Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
Case Reports in Anesthesiology
title Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
title_full Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
title_fullStr Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
title_full_unstemmed Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
title_short Subarachnoid Fluid Lactate and Paraplegia after Descending Aorta Aneurysmectomy: Two Compared Case Reports
title_sort subarachnoid fluid lactate and paraplegia after descending aorta aneurysmectomy two compared case reports
url http://dx.doi.org/10.1155/2013/925739
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AT francescopellegrino subarachnoidfluidlactateandparaplegiaafterdescendingaortaaneurysmectomytwocomparedcasereports
AT francocancellieri subarachnoidfluidlactateandparaplegiaafterdescendingaortaaneurysmectomytwocomparedcasereports