title: Delayed aortic rupture after aortic endograft placement in patient with spinal hardware.
abstract: Aortic injuries presenting in a delayed fashion after attempted repair of an acute injury are uncommon. We report a case of a patient presenting with an initial aortic injury associated with thoracic spinal hardware placement, which was repaired with an open and endovascular approach, and 5 months later presented with hemoptysis. The cause of hemoptysis was erosion of the descending thoracic aorta between the spinal hardware and the thoracic endograft. The patient underwent descending aorta replacement with a Dacron tube graft, removal of the hardware, and coverage with a pedicled omental flap. This is a unique presentation of erosion of the aorta between the spinal hardware and the earlier placed endovascular stent-graft.
authors.affiliation: Department of Surgery, The Methodist Hospital, Houston, TX, USA.
authors.forename: Charudatta
authors.initials: C
authors.lastname: Bavare
authors.forename: Min
authors.initials: M
authors.lastname: Kim
authors.forename: Shanda
authors.initials: S
authors.lastname: Blackmon
authors.forename: Warren
authors.initials: W
authors.lastname: Ellsworth
authors.forename: Mark G
authors.initials: MG
authors.lastname: Davies
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Reardon
mesh_terms: D000792:Angiography; D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D013123:Spinal Fusion / Q000009:adverse effects / Q000295:instrumentation*; D013904:Thoracic Vertebrae / Q000601:surgery*; D014057:Tomography, X-Ray Computed