Title

No increased risk of spinal cord ischemia in delayed AAA repair following thoracic aortic surgery.

Publication/Presentation Date

2-1-2013

Abstract

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.

Volume

47

Issue

2

First Page

85

Last Page

91

ISSN

1938-9116

Disciplines

Medicine and Health Sciences

PubMedID

23339150

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article

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