Successful reversal of isolated delayed spinal cord ischemia following endovascular abdominal aneurysm repair

Abstract

Qusai Aljarrah,1 Mamoon H Al-Omari,2 Mwaffaq Elheis,2 Mooath Al-Jarrah,3 Abdelwahab Jamal,3 Abdullah Alzoubi41Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 2Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 3School of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 4Department of Pharmacology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, JordonAbstract: A 74-year-old patient presented with isolated fecal incontinence 6 weeks following endovascular aneurysm repair. The delayed presentation of spinal cord ischemia was precipitated by commencement of alpha-blockers for benign prostatic hyperplasia. This case stresses that vulnerability to spinal cord perfusion is not limited to the perioperative period. In addition, systemic arterial pressure should be closely monitored in cases of marginal vascular insufficiency of the spinal cord.Keywords: abdominal aortic aneurysm, endovascular aneurysm repair, spinal cord ischemia, fecal incontinence

Keywords

• abdominal aortic aneurysm
• endovascular aneurysm repair
• spinal cord ischemia
• fecal incontinence