Treatment of perioperative paraplegia in acute aortic dissection

Agaeva H.A.; Sirota D.A.; Khvan D.S.; Zhulkov M.O.; Protopopov A.V.

doi:https://doi.org/10.17116/kardio202417021210

Agaeva H.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-1648-1529

Sirota D.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-9940-3541

Khvan D.S.

Meshalkin National Medical Research Center

ORCID: 0000-0002-5925-2275

Zhulkov M.O.

Meshalkin National Medical Research Center

ORCID: 0000-0001-7976-596X

Protopopov A.V.

Meshalkin National Medical Research Center

ORCID: 0000-0002-2617-2447

Treatment of perioperative paraplegia in acute aortic dissection

Authors:

Agaeva H.A., Sirota D.A., Khvan D.S., Zhulkov M.O., Protopopov A.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(2): 210‑215

DOI: 10.17116/kardio202417021210

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To cite this article:

Agaeva HA, Sirota DA, Khvan DS, Zhulkov MO, Protopopov AV. Treatment of perioperative paraplegia in acute aortic dissection. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(2):210‑215. (In Russ.)
https://doi.org/10.17116/kardio202417021210

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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Abstract:

Acute aortic dissection is a life-threatening disease requiring emergency surgery. Various complications are possible in these patients. The most dangerous one is malperfusion syndrome, i.e. static or dynamic cessation of blood flow through the great arteries. Incidence of neurological complications in these patients is 18%, spinal cord ischemia — 2—9.5%. Currently, there is no pathogenetic treatment. Management of these patients is aimed, if not at eliminating, then at reducing the consequences of spinal ischemia. Cerebrospinal fluid drainage as a part of the COPS protocol is effective for acute spinal ischemia secondary to acute aortic dissection. The authors describe 2 clinical cases of successful treatment of early postoperative paraplegia of the lower extremities in acute aortic dissection type A and B.

Keywords:

aortic dissection

spinal cord infarction

paraplegia

spinal cord ischemia

Authors:

Agaeva H.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-1648-1529

Sirota D.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-9940-3541

Khvan D.S.

Meshalkin National Medical Research Center

ORCID: 0000-0002-5925-2275

Zhulkov M.O.

Meshalkin National Medical Research Center

ORCID: 0000-0001-7976-596X

Protopopov A.V.

Meshalkin National Medical Research Center

ORCID: 0000-0002-2617-2447

Received:

24.04.2023

Accepted:

25.05.2023

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References:

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