Unusual Management of Thoracic Aortic Injury After Spinal Instrumentation: Just Glue It!

Aorta ◽  
2016 ◽  
Vol 4 (3) ◽  
Author(s):  
Yannick Deswysen ◽  
Jason Labeau ◽  
Ludovik Kaminski ◽  
Parla Astarci
2004 ◽  
Vol 39 (4) ◽  
pp. 893-896 ◽  
Author(s):  
Michael E Minor ◽  
Nicholas J Morrissey ◽  
Richard Peress ◽  
Alfio Carroccio ◽  
Sharif Ellozy ◽  
...  

2015 ◽  
Vol 1 (4) ◽  
pp. 264-267 ◽  
Author(s):  
Paul Claiborne ◽  
Alexandros Mallios ◽  
Kevin Taubman ◽  
John Blebea

Aorta ◽  
2016 ◽  
Vol 04 (03) ◽  
pp. 95-98 ◽  
Author(s):  
Yannick Deswysen ◽  
Jason Labeau ◽  
Ludovik Kaminski ◽  
Parla Astarci

AbstractWe report the cases of two patients who presented with screw misplacement following spinal surgery. Both benefited from unusual vascular surgical management with removal of the material and injection of biological glue facing the injury, with uneventful postoperative courses.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Konstantinos Lagios ◽  
Georgios Karaolanis ◽  
Theodossios Perdikides ◽  
Theodoros Bazinas ◽  
Nikolaos Kouris ◽  
...  

Iatrogenic aortic injuries are rare and well-recognized complications of a variety of procedures, including spinal surgery. The placement of pedicle screws is sometimes associated with devastating consequences. Aortic perforation with rapid hematoma formation and delayed aortic trauma leading to pseudoaneurysm formation have been described in the literature. A case describing a significant time interval between iatrogenic aortic injury and diagnosis in the absence of pseudoaneurysm formation is described in this paper and, according to our knowledge, is unique in the literature. The aortic injury was successfully treated, selecting the appropriate graft and, as a consequence, normal spinal cord blood flow was achieved.


2002 ◽  
Vol 46 (4) ◽  
pp. 351
Author(s):  
Min Jee Sohn ◽  
Joon Beon Seo ◽  
Hyun Woo Koo ◽  
Han Na Nho ◽  
Meong Gun Song ◽  
...  

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259

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.


2019 ◽  
Vol 11 (S8) ◽  
pp. S1113-S1118
Author(s):  
Hao Xie ◽  
Shaonan Ning ◽  
Nan Li ◽  
Lei Song ◽  
Yanbin Wang ◽  
...  

Aorta ◽  
2021 ◽  
Author(s):  
Ahmet Can Topcu ◽  
Kamile Ozeren-Topcu ◽  
Ahmet Bolukcu ◽  
Sinan Sahin ◽  
Avni U. Seyhan ◽  
...  

Abstract Objective In blunt trauma patients, injury of the thoracic aorta is the second most common cause of death after head injury. In recent years, thoracic endovascular aortic repair (TEVAR) has largely replaced open repair as the primary treatment modality, and delayed repair of stable aortic injuries has been shown to improve mortality. In light of these major advancements, we present a 10-year institutional experience from a tertiary cardiovascular surgery center. Methods Records of patients who underwent endovascular or open repair of the ascending, arch or descending thoracic aorta between January 2009 and December 2018 were retrospectively analyzed. Patients without blunt traumatic etiology were excluded. Perioperative data were retrospectively collected from patient charts. Long-term follow-up was performed via data from follow-up visits and phone calls. Results A total of 1,667 patients underwent 1,740 thoracic aortic procedures (172 TEVAR and 1,568 open repair). There were 13 patients (12 males) with a diagnosis of blunt thoracic aortic injury. Mean patient age was 43.6 years (range, 16–80 years). Ten (77%) patients underwent TEVAR, two (15.4%) underwent open repair, and one (7.7%) was treated nonoperatively. Procedure-related stroke was observed in one (7.7%) case. Procedure-related paraplegia did not occur in any patients. Left subclavian artery origin was covered in seven patients. None developed arm ischemia. Hospital survivors were followed-up for an average of 60.2 months (range, 4–115 months) without any late mortality, endoleak, stent migration, arm ischemia, or reintervention. Conclusion Blunt thoracic aortic injury is a rare but highly fatal condition. TEVAR offers good early and midterm results. Left subclavian artery coverage can be performed without major complications.


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