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The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 669-674, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
NM Katz, EH Blackstone, JW Kirklin and RB Karp
Of 35 patients operated upon for acute traumatic transection of the upper
descending thoracic aorta between 1967 and March 31, 1980, 33 had
sufficient information for us to analyze the incidence of spinal cord
injury (paraplegia or paresis). This event occurred in eight patients.
Multivariate analyses indicated that spinal cord injury was more likely to
occur with long aortic cross-clamp times (p = 0.08) when no shunt was
employed to perfuse the distal aorta during cross-clamping. The data
suggest that if an aortic cross-clamp time exceeding about 30 minutes is
anticipated, a shunt should be employed during aortic cross- clamping.
ARTICLES
Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection
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