Rp. Lemke et al., SPINAL-CORD INFARCT AFTER ARTERIAL SWITCH ASSOCIATED WITH AN UMBILICAL ARTERY CATHETER, The Annals of thoracic surgery, 62(5), 1996, pp. 1532-1534
Paraplegia after an open heart operation in a neonate is a rare compli
cation. We report a case of a infant in whom paraplegia developed afte
r a successful arterial switch operation for transposition of the grea
t arteries. The infant was monitored and resuscitated in the preoperat
ive period with umbilical arterial and venous catheter tips located in
the midthoracic region. He likely suffered a clinically silent thromb
oembolic event predisposing him to a localized hemorrhagic infarction
during the repair.