Reversal of renal failure and paraplegia after thoracoabdominal aneurysm repair |
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Authors: | MD Widmann A DeLucia J Sharp WE Richenbacher |
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Affiliation: | Division of Cardiothoracic and Vascular Surgery, The University of Iowa Hospitals and Clinics, Iowa City 52242-1062, USA. |
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Abstract: | Repair of ruptured thoracoabdominal aortic aneurysms is complicated by high rates of perioperative paraplegia, renal insufficiency, and mortality. This report describes a patient with a ruptured thoracoabdominal aortic aneurysm in whom preoperative acute renal failure was reversed with hemodialysis, aortic replacement, and renal revascularization. Prompt cerebrospinal fluid drainage reversed delayed-onset postoperative paraplegia and led to immediate, complete neurologic recovery. |
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