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Asian Cardiovasc Thorac Ann. 2013 Jun;21(3):335-7. doi: 10.1177/0218492312454016.

Successful staged operation for acute type A aortic dissection with paraplegia.

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  • 1Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.


A 75-year-old man presented with both paraplegia and acute occlusion of the abdominal aorta at onset. Extraanatomical bypass was performed following spinal drainage. After 3 days, the ascending aorta replaced under cardiopulmonary bypass using the extraanatomical bypass graft for arterial cannulation. The abdominal aorta was replaced after 6 months. A staged operation is one of the options for acute aortic dissection with paraplegia and acute occlusion of the abdominal aorta.


Aneurysm; aortic aneurysm; dissecting; paraplegia; vascular surgical procedures

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