AI Article Synopsis

  • Postoperative neurologic deficits are a major complication after thoracic aorta repair, necessitating strategies for spinal cord protection.
  • A 25-year-old patient with a traumatic descending aortic aneurysm underwent surgical repair without successful cerebrospinal fluid drainage but was treated with levosimendan due to its vasodilatory effects.
  • The patient's recovery was smooth, with no hemodynamic or neurological complications, highlighting levosimendan's potential benefit in spinal cord protection during such surgeries.

Article Abstract

Background And Aim: Postoperative neurologic deficit is the most devastating complication after surgical thoracic aorta repair. Cerebrospinal fluid drainage and some medications are used for spinal cord protection during and after the operation.

Methods: A 25-year-old patient applied to our clinic with a traumatic descending aortic aneurysm. We performed a surgical repair for the aneurysm but could not achieve to place a lumbar catheter to provide cerebrospinal fluid drainage. Levosimendan was chosen for spinal cord ischemic preconditioning because of its vasodilatory effects.

Results: Postoperative course was uneventful. Hemodynamic and neurologic complication was not observed, and the patient was discharged from the hospital in the postoperative 5th day.

Conclusions: Levosimendan can be used for preconditioning and spinal cord protection from ischemic injury during descending aorta repair. We clearly benefit from the vasodilator peculiarity of the drug for improving spinal cord perfusion.

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Source
http://dx.doi.org/10.1111/j.1540-8191.2007.00523.xDOI Listing

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