A Case of Descending Thoracic Aortic Pseudoaneurysm Associated with Thoracolumbar Pedicle Screw Removal.
- Author:
Byoung Hyun PARK
1
;
Eun Kyung CHOI
;
Kyung Ho YUN
;
Kwang Il KO
;
Su Bin LIM
;
Seok Kyu OH
;
Jin Won JEONG
;
Yang Kyu PARK
;
Ock Kyu PARK
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
- Publication Type:Case Report
- Keywords:
Spine surgery;
Thoracic aortic pseudoaneurysm;
Pedicle screw fixation
- MeSH:
Aneurysm, False*;
Arteriovenous Fistula;
Diagnosis;
Hemorrhage;
Humans;
Middle Aged;
Rupture;
Spine;
Thorax;
Vascular System Injuries
- From:Journal of the Korean Society of Echocardiography
1998;6(2):171-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vascular injuries after spine surgery may result in acute life-threatening hemorrhage, chronic arteriovenous fistula, or pseudoaneurysm formation. The interval between injury and rupture may range from seconds to years, and accordingly, a high index of suspicion is needed to make the diagnosis. Although acute and delayed vascular injury caused by placement of posterior pedicle screw fixation has been reported, the potential for large vessel disruption during posterior pedicle screw removal has been rarely reported. This case report concerns a 50-year-old man who developed an descending thoracic aortic pseudoaneurysm after posterior pedicle screw removal, diagnosed by chest computed tomography(CT) scan and transesophageal echocardiography(TEE).