RESUMO
Paciente de 74 años sometido a neumonectomía derechapor hemoptisis recurrentes, al que antes de la cirugíase había realizado varias embolizaciones en arteriasbronquiales y que presentó en el postoperatorio unaparaplejía de origen isquémico. Tanto la toracotomíapara una intervención pulmonar como la embolizaciónde arterias bronquiales han sido descritas en la literaturacomo causas de isquemia medular. Se analizan losposibles mecanismos desencadenantes de esta lesión(AU)
Bronchial artery embolization was attempted severaltimes in a 74-year-old man undergoing right pneumonectomyfor persistent hemoptysis. Paraplegia developedafter surgery. Both thoracotomy for lung surgery andbronchial artery embolization have been reported tocause spinal cord ischemia. We analyze the possiblemechanisms through which such ischemia may develop(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Isquemia do Cordão Espinal/complicações , Isquemia do Cordão Espinal/diagnóstico , Embolização Terapêutica/métodos , Toracotomia/métodos , Isquemia do Cordão Espinal/fisiopatologia , Isquemia do Cordão Espinal/cirurgia , Isquemia do Cordão Espinal , Pneumonectomia/métodos , HemodinâmicaRESUMO
Bronchial artery embolization was attempted several times in a 74-year-old man undergoing right pneumonectomy for persistent hemoptysis. Paraplegia developed after surgery. Both thoracotomy for lung surgery and bronchial artery embolization have been reported to cause spinal cord ischemia. We analyze the possible mechanisms through which such ischemia may develop.
