The Potential Causes of Paraplegia after Coronary Artery Bypass Grafting: A Literature Review

Heart Surg Forum. 2021 May 25;24(3):E487-E492. doi: 10.1532/hsf.3731.


Paraplegia is an unpredictable neurologic complication after coronary artery bypass grafting (CABG) surgery. It is rare but fatal, and the mechanism still is unclear. We aimed to make a summary of the possible causes of paraplegia after CABG. Pubmed database was searched from January 1, 1978 to December 31, 2019, and 14 studies were finally included. Paraplegia after CABG is a multifactorial consequence, but spinal cord ischemia is the key pathological factor to postoperative paraplegia.

Publication types

  • Review

MeSH terms

  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Disease / surgery
  • Global Health
  • Humans
  • Incidence
  • Paraplegia / epidemiology
  • Paraplegia / etiology*
  • Postoperative Complications*
  • Spinal Cord Ischemia / complications*