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Coincidence of Spinal Canal Stenosis and Thoracoabdominal Aortic Aneurysm

The Cardiothoracic Centre NHS Trust, Liverpool, United Kingdom

For reprint information contact: Justin James, FRCS Ed, Tel: 44 151 228 1616, Fax: 44 151 724 1954, Email: drjustinjamesj{at}yahoo.co.uk, Cardiothoracic Surgery, The Cardiothoracic Centre, Thomas drive, Liverpool L14 3PE, United Kingdom.

We report a case in which a thoracoabdominal aneurysm was present in association with previously unknown critical spinal canal stenosis. In spite of using left heart bypass, systemic hypothermia, and controlled cerebrospinal fluid drainage for spinal cord protection, the patient developed paraplegia following aortic aneurysm repair. Computed tomography scan revealed critical stenosis of the spinal canal that was thought to be sufficient to produce spinal cord compression syndromes including paraplegia.