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No increased risk of spinal cord ischemia in delayed AAA repair following thoracic aortic surgery. Vascular and endovascular surgery Ullery, B. W., Wang, G. J., Woo, E. Y., Cheung, A. T., McGarvey, M. L., Carpenter, J. P., Fairman, R. M., Jackson, B. M. 2013; 47 (2): 85-91

Abstract

To examine the results of open or endovascular abdominal aortic aneurysm (AAA) repair following prior open or endovascular thoracic aortic surgery.A retrospective review of all patients who underwent AAA repair in a delayed fashion following prior thoracic aortic surgery at a single university hospital between 1999 and 2011 was performed.Thirteen patients underwent AAA repair following prior thoracic aortic repair. Mean age was 68.9 ± 6.9 years and 77% (n = 10) were male. Three patients experienced transient delayed-onset spinal cord ischemia (SCI) following initial thoracic surgery. Mean time interval between initial thoracic aortic surgery and subsequent AAA repair was 2.0 ± 1.8 years. Overall rate of SCI and 30-day mortality after delayed AAA repair was 0%.This series does not demonstrate any evidence of increased risk of perioperative mortality or SCI in patients undergoing delayed AAA repair after prior thoracic aortic surgery.

View details for DOI 10.1177/1538574412474500

View details for PubMedID 23339150