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Research ArticleComplications

Thoracic Aortic Pseudoaneurysm Due to Screw Dislodgment Following Anterior Spinal Approach. Complex Surgical Management of Both Issues: A Case Report and Review of Literature

ROSA M. EGEA-GÁMEZ, DAVID FERREÑO-MÁRQUEZ, LUIS DE BENITO FERNÁNDEZ, JOSE LOSADA-VIÑAS and RAFAEL GONZÁLEZ-DÍAZ
International Journal of Spine Surgery June 2020, 14 (3) 397-402; DOI: https://doi.org/10.14444/7052
ROSA M. EGEA-GÁMEZ
1Department of Orthopaedic Surgery, Spinal Unit, Hospital Universitario Niño Jesús, Madrid, Spain
MD, PHD
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  • For correspondence: rosamaria.egea@salud.madrid.org
DAVID FERREÑO-MÁRQUEZ
2Department of Orthopaedic Surgery, Hospital Fundación Alcorcón, Madrid, Spain
MD
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LUIS DE BENITO FERNÁNDEZ
3Department of Vascular Surgery, Hospital Fundación Alcorcón, Madrid, Spain
MD, PHD
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JOSE LOSADA-VIÑAS
2Department of Orthopaedic Surgery, Hospital Fundación Alcorcón, Madrid, Spain
MD, PHD
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RAFAEL GONZÁLEZ-DÍAZ
1Department of Orthopaedic Surgery, Spinal Unit, Hospital Universitario Niño Jesús, Madrid, Spain
MD, PHD
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Article Figures & Data

Figures

  • Figure 1
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    Figure 1

    Plain chest X-ray revealed enlargement of soft tissues in the left paravertebral region proximal to the aorta wall.

  • Figure 2
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    Figure 2

    Pseudoaneurysm of the descending thoracic aorta related to dislodgement of the lower left screw of T11 from the anterior arthrodesis plate.

  • Figure 3
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    Figure 3

    Pseudoaneurysm treated endovascularly by placing a 28 mm x 100 mm endograft, normally positioned and without leakage in the follow-up CT.

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    Figure 4

    Aorta reconstruction by direct end-to-end suture of the endograft stent.

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    Figure 5

    CT of the chest showing massive left hemothorax (90% of left pleural surface).

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International Journal of Spine Surgery
Vol. 14, Issue 3
1 Jun 2020
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Thoracic Aortic Pseudoaneurysm Due to Screw Dislodgment Following Anterior Spinal Approach. Complex Surgical Management of Both Issues: A Case Report and Review of Literature
ROSA M. EGEA-GÁMEZ, DAVID FERREÑO-MÁRQUEZ, LUIS DE BENITO FERNÁNDEZ, JOSE LOSADA-VIÑAS, RAFAEL GONZÁLEZ-DÍAZ
International Journal of Spine Surgery Jun 2020, 14 (3) 397-402; DOI: 10.14444/7052

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Thoracic Aortic Pseudoaneurysm Due to Screw Dislodgment Following Anterior Spinal Approach. Complex Surgical Management of Both Issues: A Case Report and Review of Literature
ROSA M. EGEA-GÁMEZ, DAVID FERREÑO-MÁRQUEZ, LUIS DE BENITO FERNÁNDEZ, JOSE LOSADA-VIÑAS, RAFAEL GONZÁLEZ-DÍAZ
International Journal of Spine Surgery Jun 2020, 14 (3) 397-402; DOI: 10.14444/7052
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Keywords

  • Thoracic aortic pseudoaneurysm
  • screw dislodgment
  • anterior spinal approach
  • aortic injury
  • spinal fusion

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