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Rehabilitation Practice and Science

Translated Title

冠狀動脈繞道手術後併發腦中風及脊髓梗塞：病例報告

Abstract

Cerebral stroke and spinal cord infarction are rare complications after coronary artery bypass graft (CABG). The coexistence of them in one case is extremely rare. Cerebral microemboli generated during CABG is connected to acute ischemic stroke. Spinal cord infarction after CABG is related to hypoperfusion of the spinal cord. Except for the cardiovascular disease, the use of cardiopulmonary bypass during or after surgery is also a risk factor for both of the complications. They are not only increase the length of hospital stay but also contribute to patient's poor prognosis.We reported a 61-year-old male, with histories of hypertension, type II diabetes mellitus and coronary artery disease, referred to the cardiovascular surgeon for CABG due to acute coronary syndrome. He received cardiopulmonary bypass and prolonged anesthesia. However, triplegia developed thereafter which implicated the occurrence of both cerebral stroke and spinal cord infarction. He had T4 imcomplete paraplegia which is compatible with the watershed area from T4 to T9. This area is known for the vulnerability to hypoperfusion. After rehabilitation programs, the patient recovered only partially. In this article, the possible mechanisms of cerebral stroke and spinal cord infarction are discussed and the relevant literature is reviewarticleed. (Tw J Phys Med Rehabil 2012; 40(2): 109 - 116)

Language

Traditional Chinese

First Page

109

Last Page

116

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