title: Combined thoracic endovascular aortic repair and neurosurgical intervention for injury due to posterior spine surgery.
abstract: Aortic injuries represent a rare but life-threatening complication of spinal surgery. Perforation of the aorta due to pedicle screw penetration or misplacement can lead to immediate bleeding with hemodynamic instability or to pseudoaneurysm development with delayed risk of rupture, which can occur weeks to months later. Recently, thoracic endovascular aortic repair (TEVAR) in aortic trauma has contributed to a reduction of both mortality and morbidity. The literature on this subject is reviewed.
authors.affiliation: Cardiovascular and Thoracic Department, Policlinico G. Martino University Hospital, School of Specialty in Vascular Surgery, University of Messina, Messina, Italy.
authors.forename: Amedeo
authors.initials: A
authors.lastname: Carmignani
authors.forename: Salvatore
authors.initials: S
authors.lastname: Lentini
authors.forename: Edvige
authors.initials: E
authors.lastname: Acri
authors.forename: Giovanni
authors.initials: G
authors.lastname: Vazzana
authors.forename: Mauro
authors.initials: M
authors.lastname: Campello
authors.forename: Pietro
authors.initials: P
authors.lastname: Volpe
authors.forename: Ignazio E
authors.initials: IE
authors.lastname: Acri
authors.forename: Francesco
authors.initials: F
authors.lastname: Spinelli
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001863:Bone Screws / Q000009:adverse effects; D020878:Device Removal; D057510:Endovascular Procedures; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*