We describe the very rare event of delayed transient paraplegia after repai
r of type A dissection of the aorta and discuss therapeutic options. We als
o suggest insertion of a spinal catheter as soon as there are signs or symp
toms of spinal cord injury to drain spinal fluid and maximize the effect of
elevated spinal cord perfusion pressure. (C) 2001 by The Society of Thorac
ic Surgeons.