title: Endovascular treatment of iatrogenic aortic injury after spinal surgery.
abstract: A 59-year-old female presented to our institution with paraparesis caused by medullar compression secondary to multiple myeloma. Spinal cord decompression and transpedicular spine fixation were performed. A month later, the patient complained of sudden pain in her middle back. A CT scan revealed screw impingement on the aortic wall at T8 level. A thoracic stent-graft was deployed before removing the fixation. The patient had an uneventful postoperative course, without complications during the four-year follow-up. In this case report, stent-graft placement proved to be safe and effective in avoiding bleeding during screw removal.
authors.affiliation: Department of Angiography and Endovascular Therapy, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Martin
authors.initials: M
authors.lastname: Rabellino
authors.forename: Ricardo
authors.initials: R
authors.lastname: Garcia-Monaco
authors.forename: Vicente
authors.initials: V
authors.lastname: Cesareo
authors.forename: Roman
authors.initials: R
authors.lastname: Rostagno
authors.forename: Carlos
authors.initials: C
authors.lastname: Sola
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries*; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery; D001416:Back Pain / Q000209:etiology; D001863:Bone Screws; D019299:Decompression, Surgical / Q000379:methods; D020878:Device Removal; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications; D020335:Paraparesis / Q000209:etiology*; D013117:Spinal Cord Compression / Q000150:complications* / Q000209:etiology / Q000601:surgery; D013123:Spinal Fusion / Q000379:methods; D015607:Stents; D013904:Thoracic Vertebrae