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(Chest. 1994;106:1264-1265.)
© 1994 American College of Chest Physicians

Tetraplegia After a Tracheal Resection Procedure

Cordula C. M. Pitz M.D.1; Vincent A. M. Duurkens M.D.1; Dominique J. A. Goossens M.D.2; Paul J. Knaepen M.D.2; Peter Siegers M.D.3; and Leo J. Hoogenboom M.D.4

1 From the Department of Pulmonology, St. Antonius Hospital, Nieuwegein, the Netherlands
2 From the Department of Thoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands
3 From the Department of Neurology, St. Antonius Hospital, Nieuwegein, the Netherlands
4 From the Department of Anaesthesiology, St. Antonius Hospital, Nieuwegein, the Netherlands

We describe a 27-year-old patient who was admitted to our hospital for a tracheal stenosis caused by an adenocystic carcinoma. A tracheal resection procedure was performed and the head was fixed to the anterior chest wall by two sutures. Postoperatively he became tetraplegic, from which he completely recovered after the sutures were removed. We think that the decreased blood flow in the anterial spinal artery with flexion of the neck in combination with hypotension was the direct cause of this major complication.




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 Ann. Thorac. Surg.Home page
J. Dominguez, J. J. Rivas, R. D. Lobato, V. Diaz, and E. Larru
Irreversible Tetraplegia After Tracheal Resection
Ann. Thorac. Surg., July 1, 1996; 62(1): 278 - 280.
[Abstract] [Full Text]


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