Perioperative thrombotic occlusion of left external iliac artery during anterior lumbar interbody fusion.
We report a case of thrombotic occlusion of left external iliac artery during the procedure of anterior lumbar interbody fusion. The diagnosis was confirmed by computed tomography angiography. The patient also developed severe rhabdomyolysis postoperatively. In spite of receiving emergent thromboendarterectomy, the patient expired on postoperative day 3. This report attempts to remind spinal surgeons and anesthesiologists of this rare but potentially fatal complication, and discuss the possible mechanism, management, and prevention.
Huang
Jen-Hsuan
JH
Department of Anesthesiology, Taichung Veterans General Hospital, Taichung City, Taiwan.
Lee
Cheng-Hung
CH
Tsai
Tzung-Chieh
TC
Peng
Shih-Yen
SY
D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007083:Iliac Artery; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D012206:Rhabdomyolysis / Q000209:etiology; D013123:Spinal Fusion / Q000009:adverse effects*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed