2017 Volume 26 Issue 3 Pages 165-169
A 74-year-old man underwent successful descending aortic replacement for two saccular type descending thoracic aortic aneurysms. Delayed paraplegia appeared 1 days after the operation, and spinal cord ischemia was considered to be the cause. In addition to continuous cerebrospinal fluid drainage (CSF-D), the pain control of fentanyl was stopped, and the administration of D-mannitol, corticosteroid and continuous intravenous injection of Naloxone were started. Moreover, mean blood pressure was controlled over 90 mmHg. He recovered from paraplegia in a day after the initial treatment. The continuous injection of Naloxone and blood pressure control could be considered effective treatments in this case with spinal cord ischemia after descending thoracic aortic replacement.
