Abstract
Paraplegia after frozen elephant trunk surgery In contrast to surgery of the thoracoabdominal aorta, the complication of paraplegia due to spinal cord ischemia after a frozen elephant trunk procedure is less well-known. The aim of this case report is to carry this knowledge beyond the borders of the cardiac speciality. The deployment of the prosthesis, the induction of a circulatory arrest, perioperative hypotension, hypoxemia and reperfusion injury jeopardize the spinal blood flow. A ground understanding of the pathogenesis is a must for implementing adequate perioperative management guidelines to minimize the risk of this feared complication.
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