In this report, a case of spinal cord ischemia and gluteal skin necrosis, following infrarenal aortic aneurysm repair is presented. The major etiologic factor precipitating this condition is believed to be the interruption of both internal iliac arteries. To prevent these complications the authors believe that at least one of the internal iliac arteries should be revascularized to prevent microembolism and hypotension.
Get full access to this article
View all access options for this article.
References
1.
Szilagyi DE , Hageman JH, Smith RF, et al: Spinal cord damage in surgery of the abdominal aorta. Surgery83:38-56, 1978.
2.
Picone AL, Green RM, Ricotta JR, et al: Spinal cord ischaemia following operations on the abdominal aorta. J Vasc Surg3:94-103, 1986.
3.
Gloviczki P. , Cross SA, Stanson AW, et al: Ischemic injury to the spinal cord or lumbosacral plexus after aortoiliac reconstruction. Am J Surg162:131-136, 1991.
4.
Szilagyi DE: Spinal cord ischemia in surgical procedures with temporary clamping of the abdominal aorta. Surgery93:110-111, 1983.
5.
Ferguson Lrj , Bergan JJ, Conn J. Jr, et al: Spinal ischemia following abdominal aortic surgery. Ann Surg181:267-272, 1975.
6.
Hardy SC, Vowden P., Gough MJ: Trash buttock. An unusual complication of aortic surgery. Eur J Vasc Surg5:215-216, 1991.
