Hybrid approach for removal of an errant intra-vascular pedicle spinal fixation screw in the thoracic aorta Academic Article uri icon

Overview

MeSH Major

  • Aorta, Thoracic
  • Bone Screws
  • Device Removal
  • Foreign-Body Migration

abstract

  • Late presentation of aortic injuries secondary to internal fixation hardware is uncommon and generally associated with pseudoaneurysm formation. We herein present a case of transmural migration of a pedicle screw into the descending thoracic aorta, which was revealed incidentally by computed tomography scan after almost 4 years of hardware implantation. Approximately 75% of the pedicle screw was exposed to the bloodstream, and was successfully removed using endovascular segmental exclusion to avoid aortic cross-clamping and an open approach via left thoracotomy. This case illustrates the successful repair of an iatrogenic aortic injury using a hybrid technique.

publication date

  • July 2012

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2011.12.084

PubMed ID

  • 22503180

Additional Document Info

start page

  • 201

end page

  • 4

volume

  • 56

number

  • 1