Endovascular treatment of an iatrogenic thoracic aortic injury after spinal instrumentation: Case report Academic Article uri icon

Overview

MeSH Major

  • Aorta, Thoracic
  • Blood Vessel Prosthesis Implantation
  • Bone Screws
  • Orthopedic Procedures
  • Wounds, Penetrating

abstract

  • Iatrogenic aortic injuries after spinal surgery have been described, but are rare. We describe a case of a 77-year-old woman who underwent surgical correction of a debilitating spinal deformity at an outside institution. Postoperative thoracic spine radiographs and computed tomography scans revealed a misplaced pedicle screw at T5, which was impinging on the descending thoracic aortic wall. The patient was brought to the operating room, where a thoracic stent graft was deployed under fluoroscopic guidance as the malpositioned screw was manually retracted. The patient had an uneventful postoperative course, and was discharged within 24 hours. This case represents a rare but potentially morbid vascular complication of spinal instrumentation surgery that was successfully treated without the need for thoracotomy.

publication date

  • April 2004

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2003.10.056

PubMed ID

  • 15071460

Additional Document Info

start page

  • 893

end page

  • 6

volume

  • 39

number

  • 4