Paraplegia Following an Infrarenal Abdominal Aortic Aneurysm Repair

Abstract

A 72-year-old woman with a 50 mm infrarenal abdominal aortic aneurysm was performed aortic repair. After the procedure, she complained lower limb motor disorders. We suspected paraplegia, so we performed cerebrospinal fluid drainage, mean blood pressure maintenance, unfractionated heparin administration, naloxone administration, and edaravone administration urgently. But her symptom was not improved. Paraplegia after infrarenal abdominal aortic aneurysm repair is a rare but catastrophic event for patient’s life prognosis and quality of life. So it is necessary to consider preventive interventions for cases with a high risk of developing paraplegia.