Aortic Injury during Transforaminal Lumbar Interbody Fusion.
10.14245/kjs.2017.14.3.118
- Author:
Hee Jin BAE
1
;
Tack Geun CHO
;
Chang Hyun KIM
;
Ho Kook LEE
;
Jae Gon MOON
;
Jong Il CHOI
Author Information
1. Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. jotak01@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Aortic rupture;
False aneurysm;
Intraoperative complications;
Endovascular procedures;
Intervertebral disc
- MeSH:
Aneurysm, False;
Aortic Rupture;
Blood Pressure;
Blood Transfusion;
Endovascular Procedures;
Female;
Gelatin Sponge, Absorbable;
Hemorrhage;
Humans;
Intervertebral Disc;
Intraoperative Complications;
Middle Aged;
Outpatients;
Vital Signs
- From:Korean Journal of Spine
2017;14(3):118-120
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aortic injury during transforaminal lumbar interbody fusion (TLIF) is a rare but severe complication. We experienced aortic injury during TLIF at L3–4 with a 59-year-old woman diagnosed with an adjacent segment disease at L3–4. Severe bleeding occurred during disc space expansion, and the blood pressure dropped to 60/40 mmHg. The patient’s vital sign stabilized after compression with gauze and Gelfoam in addition to blood transfusion. The patient was treated with endovascular repair using a percutaneous technique after intertransverse fusion at L3–4 was completed. She recovered and is being followed-up in the outpatient department.
