Delayed paraplegia 10 months after endovascular repair of thoracic aortic aneurysm

Spinal cord ischemia after treatment of thoracic pathologies remains a devastating problem. A 74-year-old man with a history of infrarenal abdominal aortic aneurysm repair presented with bilateral common iliac and left femoral aneurysms as well as a thoracic aortic aneurysm. He underwent an open repair of the iliac and femoral aneurysms, followed by thoracic endovascular aneurysm repair in a staged manner without complications. Ten months later, he presented with hypotension, and permanent paraplegia developed.