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Possibilities include intraoperative hypotension, inadvertent compromise to blood supply of thoracic radicular arteries, dislodged atherosclerotic emboli or a combination of these factors. Spinal cord infarction recognised early can be treated. Sedation to assist ventilation had obscured the problem early enough to consider treatment. Patients with vascular risk factors should be carefully managed intraoperatively to minimise hypotensive episodes and care should also be taken not to compromise blood flow of radicular arteries.<\/jats:p>","DOI":"10.1136\/bcr-2013-202283","type":"journal-article","created":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T09:18:52Z","timestamp":1397639932000},"page":"bcr2013202283","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical repair following trauma to vascular graft causing spinal cord infarction"],"prefix":"10.1136","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1506-5128","authenticated-orcid":false,"given":"Sayinthen","family":"Vivekanantham","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gokulan","family":"Phoenix","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chelsea and Westminster Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetan","family":"Khatri","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saroj","family":"Das","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, The Hillingdon Hospital, Uxbridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,16]]},"reference":[{"key":"2025082702154859000_2014.apr16_1.bcr2013202283.1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/00005792-198909000-00003","article-title":"Spinal cord infarction. 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