A Case of Infectious Anastomotic Aneurysm after Operation for Abdominal Aortic Aneurysm Associated with Post-Re-operative Paraplegia

(Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, Tachikawa, Japan)

Shinsuke Choh Saeki Tsukamoto
We encountered a case of an infectious anastomotic aneurysm after surgery, of an abdominal aortic aneurysm associated with postoperative paraplegia. A 63-year-old woman underwent a first operation for an impending ruptured abdominal aortic aneurysm, and was discharged. Six months later, re-operation was performed because of an anastomotic aneurysm. An anti-anatomical bypass was also performed due to finding pus near the graft. She then developed paraplegia. Spinal cord damage is a very rare complication in surgery for an abdominal aortic aneurysm. The prevention of spinal cord damage is necessary in the reconstruction of arteries such as the internal iliac artery or inferior mesenteric artery. We feel that it is important for prevention of spinal cord damage, to do a bypass operation to reduce the period of arterial ischemia from the collaterals.
  Jpn. J. Cardiovasc. Surg. 39:37-40(2010)

Keywords:infectious anastomotic aneurysm, abdominal aortic aneurysm, paraplegia, Adamkiewicz artery, post-operative complications