RT Journal Article
SR Electronic
T1 Development of stroke-induced quadriplegia after endovascular repair of blunt aortic injury pseudoaneurysm
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 52
OP 54
VO 20
IS 1
A1 Amoudi, Abdullah S.
A1 Merdad, Anas A.
A1 Makhdoom, Ahmed Q.
A1 Jamjoom, Reda A.
YR 2015
UL http://nsj.org.sa/content/20/1/52.abstract
AB Endovascular repair of blunt aortic injury is now a first-line approach in management. This can warrant coverage of the left subclavian artery (LSA), which could lead to posterior strokes. In this case report, we present a severe complication of endovascular repair of a traumatic aortic aneurysm. A 53-year-old man presented with blunt aortic injury, endovascular repair was carried out where the left subclavian artery was covered. The intervention had a 100% technical success. Twelve hours later, he was discovered to have quadriplegia, a CT scan showed a large left cerebellar infarction extending to the medulla oblongata and proximal spinal cord. Strokes complicate 3% of thoracic endovascular aortic repairs, 80% of those strokes occur in patients who had their LSA’s covered. Most patients however, tolerate the coverage. Although our patient had a dominant right vertebral artery, and lacked risks for these strokes, he developed an extensive stroke that left him quadriplegic.