RT info:eu-repo/semantics/article
T1 Endovascular treatment of thoracic aorta injury after spinal column surgery
A1 Martín Pedrosa, José Miguel
A1 Gutíerrez Alonso, Vicente
A1 González Fajardo, José Antonio
A1 Vaquero Puerta, Carlos
K1 Cirugía operatoria
K1 Mádula espinal - Lesiones y heridas
AB A 61-year-old woman with a history of left dorso-lumbar scoliosis andsevere dorso-lumbar kyphosis underwent surgical treatment of a spinal deformity.Surgery was conducted on the patient by performing a dorso-lumbar spinalarthrodesis (T6-L5) by means of the insertion of two longitudinal rods and anumber of pedicle-expander screws at different vertebral levels.Following the orthopedic surgery, the patient presented paraparesis of the lowerlimbs and anemia that required transfusion.In the immediate postoperative period, a noncontrast-enhanced computedtomography (CT) scan was obtained to assess the medullary canal. A deviation ofthe left screw placed at T6 was detected; this screw projected outward from thevertebral cortex, protruding into the descending thoracic aorta.A contrast-enhanced CT scan showed that the screw had been malpositioned,and the image was highly suggestive of a perforation of the aortic wall, despite alack of evidence of a peri-aortic hematoma, extravasation of contrast medium,or pleural effusion. The patient remained hemodynamically stable, and thedecision was to perform an endovascular repair electively within 24 hours.
PB Society of Vascular Surgery
SN 0741-5214
YR 2012
FD 2012
LK http://uvadoc.uva.es/handle/10324/3605
UL http://uvadoc.uva.es/handle/10324/3605
LA eng
NO Journal of Vascular Surgery, 2012, Volume 55, Issue 6, Pages 1782–1783
NO Producción Científica
DS UVaDOC
RD 26-abr-2024