Graft Perforation by a Spinal Bony Spur: An Unusual Cause of Late Bleeding after Thoracoabdominal Aorta Replacement
10.5090/kjtcs.2019.52.3.186
- Author:
Seung Hwan YOON
1
;
Kay Hyun PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. drkhpark@gmail.com
- Publication Type:Case Report
- Keywords:
Aorta, surgery;
Hemorrhage;
Surgery;
Complication
- MeSH:
Aged;
Aorta;
Aorta, Thoracic;
Aortic Aneurysm, Thoracic;
Emergencies;
Hematoma;
Hemorrhage;
Humans;
Tears;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(3):186-188
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report an unusual case of delayed bleeding after open surgical repair of a thoracoabdominal aortic aneurysm. A 79-year-old man developed a massive retroperitoneal hematoma 49 days after Crawford type III thoracoabdominal aorta replacement. During emergency surgery, a tear was found in the prosthetic vascular graft caused by a sharp bony spur arising from the second lumbar vertebral body. This rare, but potentially lethal, complication indicates that attention should be paid to sharp bony structures during open repair of the descending aorta.
