Spinal cord ischaemia after radical pleurectomy/decortication operation for mesothelioma

Radical pleurectomy/decortication was performed in a patient with malignant pleural mesothelioma. During the surgery, the left subclavian artery was injured, and repaired via resection and anastomosis. However, the patient was diagnosed with paraplegia following extubation. After deliberate investig...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2016-12, Vol.50 (6), p.1212-1214
Main Authors: Kaba, Erkan, Özyurtkan, Mehmet Oğuzhan, Onat, Levent, Ayalp, Kemal
Format: Article
Language:English
Subjects:
Angiography, Digital Subtraction
Humans
Magnetic Resonance Imaging
Male
Mesothelioma - surgery
Middle Aged
Pleura - surgery
Pleural Neoplasms - surgery
Spinal Cord Ischemia - diagnostic imaging
Spinal Cord Ischemia - etiology
Subclavian Artery - injuries
Vertebral Artery - diagnostic imaging
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Summary:Radical pleurectomy/decortication was performed in a patient with malignant pleural mesothelioma. During the surgery, the left subclavian artery was injured, and repaired via resection and anastomosis. However, the patient was diagnosed with paraplegia following extubation. After deliberate investigations, the mechanism of injury to the critical vascular zone of the spinal cord was determined. Here, we aim to draw attention to possible similar injuries.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezw207