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Hybrid approach for removal of an errant intra-vascular pedicle spinal fixation screw in the thoracic aorta.

Abstract：

: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.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Colvard BD,Anaya-Ayala JE,Smolock CJ,Lumsden AB,Reardon MJ,Davies MG

doi

10.1016/j.jvs.2011.12.084

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

201-4

issue

1

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(12)00021-3

journal_volume

56

pub_type

杂志文章

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