Here, we report a 71-year-old Caucasian male with a chronic spinal cord injury at the level of T4, who underwent a coronary artery bypass grafting for a 3-vessel disease. During surgery an almost fatal hypotension took place in the presence of an autonomic dysregulation, requiring to go back on cardiopulmonary bypass. A few other episodes of hyper- and hypotension occurred perioperatively. We discuss the issues with the anesthesia and surgical cardiac procedures in the light of this acute blood pressure variability called autonomic dysreflexia.
Bohorquez Derriks, X., Dincq, A.-S., Kalscheuer, G., Michaux, I., Mitchell, J., & Melly, L. (2019). A Case report - On-pump Coronary Artery Bypass in a Paraplegic Patient. Cardiology and Cardiovascular Medicine, 03(05), 286-289. https://doi.org/10.26502/fccm.92920077 (Original work published 2019)