No increased risk of spinal cord ischemia in delayed AAA repair following thoracic aortic surgery.
OBJECTIVE: To examine the results of open or endovascular abdominal aortic aneurysm (AAA) repair following prior open or endovascular thoracic aortic surgery.
METHODS: 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.
RESULTS: 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%.
CONCLUSIONS: 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.
Published In/Presented At
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). No increased risk of spinal cord ischemia in delayed AAA repair following thoracic aortic surgery. Vascular and endovascular surgery, 47(2), 85–91. https://doi.org/10.1177/1538574412474500
Medicine and Health Sciences
Department of Medicine, Cardiology Division