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Vascular and Endovascular Surgery
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Unilateral Lower Limb Paralysis After Aortobifemoral Bypass Graft for Ruptured Abdominal Aortic Aneurysm: A Case Report

Bert Deylgat, MD*, Paul Wallaert, Gunther De Smul, Luc Van Lysebeth, and Herman Ceuppens

Department of Vascular and Thoracic Surgery,AZ Groeninge Kortrijk,Belgium

* To whom correspondence should be addressed. E-mail: bert.deylgat{at}hotmail.com.


   Abstract

An 81-year-old man underwent an aortobifemoral bypass graft because of a ruptured abdominal aortic aneurysm. His postoperative recovery was complicated by unilateral lower limb paralysis caused by perioperative ischemia of the lumbosacral plexus. Ischemic lumbosacral plexopathy is an uncommon complication after infrarenal aortic surgery with serious morbidity. Despite a good surgical technique and knowledge of the vascularization of the spinal cord, its occurrence remains unpredictable.

First published on October 14, 2009
Vascular and Endovascular Surgery 2009, doi:10.1177/1538574409345032


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