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  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 2; Issue 4</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Jul-Aug, 2021)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Spinal Cord Ischemia After Endovascular Aortic Repair – A Case Report</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>9</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Raquel Reis</FirstName>
          <LastName>Soares</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Leonardo Ferber</FirstName>
          <LastName>Drumond</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Giovana Freitas Rocha de</FirstName>
          <LastName>Souza</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Lucas Valbon de Azeredo</FirstName>
          <LastName>Coutinho</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Joao Victor Tavares de Mendonça</FirstName>
          <LastName>Garretto</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Orlando Pinto Gontijo</FirstName>
          <LastName>Neto</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Daniel Soares da</FirstName>
          <LastName>Mata</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Luiza Miraglia</FirstName>
          <LastName>Firpe</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Matheus Ferber</FirstName>
          <LastName>Drumond</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>Spinal cord ischemia (SCI) is a devastating complication after aortic aneurysm repair. Even in a less invasive procedure, as endovascular aneurysm treatment, paraplegia is still a concern. SCI is associated with perioperative hemodynamic instability and damage of the main or collateral spinal cord circulation. This is a case report of a patient with complicated aortic dissection who underwent several procedures (open surgeries and endovascular treatments) and developed paraplegia after the last endovascular repair. We highlight the cerebrospinal fluid drainage as a therapeutic procedure rather than a prophylactic one, associated with maintenance of hematimetric levels, permissive hypertension and administration of L-type calcium inhibitor. We also discuss spinal cord perfusion and motor evoked potentials monitoring during aortic aneurysm repair. The patient__ampersandsign#39;s condition improved, he was discharged home 15 days after the procedure. Three months after discharge the patient was able to walk alone without difficult.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Thoracoabdominal Aortic Aneurysm,Endovascular Aneurysm Repair,Paraplegia,Spinal Cord Ischemia,Cerebrospinal Fluid Drainage</Keywords>
      <URLs>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=13091&amp;title=Spinal Cord Ischemia After Endovascular Aortic Repair – A Case Report</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
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      </References>
    </Journal>
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