Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

False Aneurysm of Descending Thoracic Aorta Developed by Screw in Thoracic Vertebra - a case report -

척추 나사 기구 때문에 생긴 흉부하행대동맥의 가성 대동맥류 - 치험 1예 -

  • 한재오 (원광의대 흉부외과학 교실) ;
  • 최종범 (원광의대 흉부외과학 교실)
  • Published : 1999.09.01
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Abstract

Chronic irritation to arterial wall by foreign material may give rise to delayed vascular injury. A 50 years old male patient with kyphoscoliosis had undergone fixation of orthopedic Cotrel-Dubousset(CD) rods and screws. Fourteen months after that surgery, a false aneurysm of the descending thoracic aorta associated with pulsating hematoma in the muscular chest wall developed. The false aneurysm was managed by resecting the diseased aortic segment and replacing the vascular graft.

이물질(foreign body)의 만성적인 자극은 혈관에 지연성 손상을 가져올 수 있다. 척추 측후만증을 교정하고 자 약 14개월 전에 흉추에 CD 금속강과 나사못(Cotrel-Dubousset rods and screws)을 장치했던 환자에서 CD 나사못의 만성적인 자극으로 흉벽의 박동성 혈종을 합병한 가성 대동맥류가 발생하였다. 이 환자에서 가성 대동맥류가 발생한 하행대동맥 부위를 절제하고 인조혈관 대치술로 치료하였기에 보고한다.

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References

  1. Arch Surg Arteriovenous fistula between the right common iliac artery and the inferior vena cava: Report of a case of its occurrence following an operation for a ruptured intervertebral disk with cure by operation Linton RR;White PD
  2. J Vasc Surg v.25 no.4 Upper abdominal aortic injury during spinal surgery Smythe WR;Carpenter JP
  3. J Bone Joint Surg A v.51 Major vascular injuries in lumbar disc surgery Birkeland IW;Taylor TKF
  4. Ann Surg v.161 Arteriovenous fistula and isolated vascular injuries secondary to intervertebral disc surgery Boyd DP;Forka GJ
  5. J Trauma v.1 Vascular complications from disc operations Shumacker HB;King H;Cambell R
  6. Injury v.27 no.3 False aneurysm of the descending aorta due to penetrating injury Ahat E;Tuzun H;Bozkurt AK;Kaynak K;Erolcay HA
  7. J Trauma v.16 The challenge of arteriovenous fistula formation following disc surgery: A collective review Jarstfer BS;Rich NM
  8. J Bone Joint Surg A v.50 Vascular and visceral injuries during lumbar disc surgery Holscher EC