TY - JOUR
T1 - Hybrid approach for removal of an errant intra-vascular pedicle spinal fixation screw in the thoracic aorta
AU - Colvard, Benjamin D.
AU - Anaya-Ayala, Javier E.
AU - Smolock, Christopher J.
AU - Lumsden, Alan B.
AU - Reardon, Michael J.
AU - Davies, Mark G.
PY - 2012/7
Y1 - 2012/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84862981380&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84862981380&partnerID=8YFLogxK
U2 - 10.1016/j.jvs.2011.12.084
DO - 10.1016/j.jvs.2011.12.084
M3 - Article
C2 - 22503180
AN - SCOPUS:84862981380
SN - 0741-5214
VL - 56
SP - 201
EP - 204
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 1
ER -