Acute aortic occlusion presenting as paraplegia: a

A & A case reports · Nov 2013

Acute aortic occlusion presenting as paraplegia: a catastrophic complication in an elective surgical patient.

Acute aortic occlusion by massive thoracoabdominal thrombi has been reported as a serious complication in patients undergoing major vascular or cardiac surgical procedures. However, this complication occurs rarely after ambulatory procedures. In this case report, we describe a patient who experienced paraplegia after an elective laparoscopic cholecystectomy in whom acute aortic thromboembolic occlusion was subsequently diagnosed. We emphasize the importance of accurate neurologic and cardiovascular history taking and examination throughout the perioperative period along with the appropriate diagnostic studies to expeditiously arrive at a diagnosis of such a rare complication.

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- Robert L Mcclain and Sher-Lu Pai.
- From the Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
- A A Case Rep. 2013 Nov 15;1(4):64-6.
AbstractAcute aortic occlusion by massive thoracoabdominal thrombi has been reported as a serious complication in patients undergoing major vascular or cardiac surgical procedures. However, this complication occurs rarely after ambulatory procedures. In this case report, we describe a patient who experienced paraplegia after an elective laparoscopic cholecystectomy in whom acute aortic thromboembolic occlusion was subsequently diagnosed. We emphasize the importance of accurate neurologic and cardiovascular history taking and examination throughout the perioperative period along with the appropriate diagnostic studies to expeditiously arrive at a diagnosis of such a rare complication.

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Acute aortic occlusion presenting as paraplegia: a catastrophic complication in an elective surgical patient.

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