Simultaneous Endovascular Repair of a Thoracic Aortic Injury during Posterior Pedicle Screw Removal: A Case Report

2018 ◽  
Vol 48 ◽  
pp. 252.e1-252.e4 ◽  
Author(s):  
Serena Martin ◽  
Richard Lindsay ◽  
Robin C. Baker
Keyword(s):  
Case Report ◽  
Pedicle Screw ◽  
Endovascular Repair ◽  
Aortic Injury ◽  
Thoracic Aortic Injury

Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Thoracic Aorta ◽  
Aortic Rupture ◽  
Hypovolemic Shock ◽  
Left Lung ◽  
Aortic Injury ◽  
Thoracoscopic Esophagectomy ◽  
Neoadjuvant Radiochemotherapy ◽  
Thoracic Aortic Injury

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.

Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery

2017 ◽  
Vol 42 ◽  
pp. 302.e15-302.e20 ◽  
Author(s):  
Donald G. Harris ◽  
Michael E. Huffner ◽  
Luqman Croal-Abrahams ◽  
Laura DiChiacchio ◽  
Behzad S. Farivar ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Endovascular Repair ◽  
Aortic Injury ◽  
Aberrant Right Subclavian Artery ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Endovascular Repair ◽  
Thoracic Aortic Injury

Endovascular Stent-Graft Placement for Thoracic Aortic Injury: Case Report

2001 ◽  
Vol 51 (3) ◽  
pp. 587-590 ◽  
Author(s):  
Susumu Yamashita ◽  
Hiroshi Nishimaki ◽  
Zong Bo Lin ◽  
Hiroshi Imai ◽  
Ken Kumagai ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Graft ◽  
Aortic Injury ◽  
Endovascular Stent ◽  
Endovascular Stent Graft ◽  
Graft Placement ◽  
Thoracic Aortic Injury
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