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CC BY 4.0 · Aorta (Stamford) 2015; 3(05): 177-180
DOI: 10.12945/j.aorta.2015.15.003
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Planned Staged Repair of Thoracoabdominal Aortic Aneurysms to Minimize Spinal Cord Injury

A Proof of Concept
Gabriele Di Luozzo
1   Heart and Vascular Hospital, Hackensack University Medical Center, Hackensack, New Jersey, USA
,
Michael Wilderman
1   Heart and Vascular Hospital, Hackensack University Medical Center, Hackensack, New Jersey, USA
,
Amit Pawale
2   Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA
,
Jock McCullough
1   Heart and Vascular Hospital, Hackensack University Medical Center, Hackensack, New Jersey, USA
,
Randall B. Griepp
2   Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA
› Author Affiliations
Further Information

Publication History

28 January 2015

04 June 2015

Publication Date:
24 September 2018 (online)

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Abstract

Management of thoracoabdominal aortic aneurysms (TAA) can lead to spinal cord injury. A variety of clinical adjuncts have proven to decrease the incidence of paraplegia; however, at least 10% patients remain at risk of developing paraplegia. Experimentally and in sporadic clinical experiences, the staged repair of TAAs can lead to better neurologic outcomes. We present two clinical cases with extensive TAA in which a deliberate staged repair leads to excellent neurologic outcomes.

Key Words

Thoracoabdominal aortic aneurysm - Paraplegia - Spinal cord
 

  • References

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