Acute abdominal aortic occlusion associated with transient paraplegia

Florent Porez, MD; Antoine Gaudin, MD; Dominique Fabre, MD, PhD; Alessandro Costanzo, MD; Lucas Le Guillou, MD; Stéphan Haulon, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2024)

Acute abdominal aortic occlusion associated with transient paraplegia

Florent Porez, MD,
Antoine Gaudin, MD,
Dominique Fabre, MD, PhD,
Alessandro Costanzo, MD,
Lucas Le Guillou, MD,
Stéphan Haulon, MD, PhD

Affiliations

Florent Porez, MD: Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, France
Antoine Gaudin, MD: Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, France
Dominique Fabre, MD, PhD: Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, France
Alessandro Costanzo, MD: Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, France
Lucas Le Guillou, MD: Department of Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Le Plessis-Robinson, France
Stéphan Haulon, MD, PhD: Correspondence: 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, France

Journal volume & issue: Vol. 10, no. 6
p. 101637

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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