Type A Aortic Dissection Presenting with Isolated Paraplegia

Authors

  • Athanasios Tsiouris
  • Jeffrey A. Morgan
  • Gaetano Paone

DOI:

https://doi.org/10.1532/HSF98.20121097

Abstract

Acute type A thoracic aortic dissections most commonly present with sudden onset of severe chest and/or back pain. We summarize the case of a patient with an acute type A dissection who presented with acute, painless paraplegia caused by malperfusion of the artery of Adamkiewicz. Although an uncommon cause of acute paraplegia, type A dissections should be included in the differential diagnosis.

References

Aktas C, Cinar O, Ay D, Gürses B, Hasmanoglu H. 2008. Acute aortic dissection with painless paraplegia: report of 2 cases. Am J Emerg Med 26:631.e3-5.nCollins JS, Evangelista A, Nienaber CA, et al. 2004. Differences in clinical presentation, management, and outcomes of acute type A aortic dissection in patients with and without previous cardiac surgery. Circulation 110: II237-42.nRaghupathy A, Nienaber CA, Harris KM, et al. 2008. Geographical differences in clinical presentation, treatment, and outcomes in type A acute aortic dissection (from the International Registry of Acute Aortic Dissection). Am J Cardiol 102:1562-6.nZull DN, Cydulka R. 1988. Acute paraplegia: a presenting manifestation of aortic dissection. Am J Med 84:765-70.n

Published

2012-12-21

How to Cite

Tsiouris, A., Morgan, J. A., & Paone, G. (2012). Type A Aortic Dissection Presenting with Isolated Paraplegia. The Heart Surgery Forum, 15(6), E316-E317. https://doi.org/10.1532/HSF98.20121097

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