Abdominal aortic rupture and spondylodiscitis: emergent EVAR and staged spinal fixation.
Ann Vasc Surg
; 28(5): 1312.e7-11, 2014 Jul.
Article
em En
| MEDLINE
| ID: mdl-24342825
ABSTRACT
Concomitant aortic aneurismal pathology and vertebral erosion are seldom reported in literature. The differential diagnosis between a primary vertebral disease affecting the aortic wall and a primary aortic pathology causing a vertebral disruption is quite difficult. We report on a patient presenting with increasing lumbar pain and neurologic lower limbs deficit due to a vertebral erosion accompanied by aortic rupture treated by emergent endovascular aortic repair procedure and then staged vertebral fixation. Microbiological tests on intraoperative periaortic fluid collection samples showed no clear sign of infection and clinical conditions progressively improved. At 12-month follow-up, the patient is in good clinical condition, with a small residual walking impairment and no clinical, laboratory, or imaging sign of aortic endograft infection.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
/
Prótese Vascular
/
Discite
/
Aneurisma da Aorta Abdominal
/
Procedimentos Ortopédicos
/
Procedimentos Endovasculares
/
Vértebras Lombares
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article