Delayed spinal cord ischemia after thoracic aortic aneurysm repair is an in
frequent but devastating complication, The use of stent grafts to exclude a
ortic aneurysms is thought to decrease the incidence of the neurologic defi
cit because there is no period of significant aortic occlusion, We report a
case of paraplegia that progressed to quadriplegia occurring 48 hours afte
r the apparently successful deployment of a thoracic aortic stent graft.