Initial experience with the treatment of concomitant aortic pseudoaneurysm and thoracolumbar spinal fracture: Case report

Kovari, Viktor Zsolt; Pécsi, Ferenc; Cs.Janvari, Mate; Veres, Róbert

doi:10.1016/j.tcr.2017.10.019

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…The EMBASE, PubMed, and Web of Science databases were searched using the terms "blunt thoracic aortic injury" and "thoracic fracture" to identify reports of blunt thoracic aortic injury as a result of thoracic fracture. The details of the reported identified (2,(4)(5)(6)(7)(8)(9)(10)(11) are shown in Table 1.…”

Section: Introductionmentioning

confidence: 99%

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Hong²,

Pan³

et al. 2022

Front. Surg.

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Blunt vascular injury of the aorta combined with thoracolumbar fracture is rare. Delayed diagnosis may have a catastrophic outcome. We present a case of blunt thoracic aortic injury combined with a vertebral body fracture at T10 after a fall from height in which the diagnosis was delayed. After consultation with the vascular and spinal surgeons, we performed a thoracic endovascular aortic repair. When the patient’s condition had stabilized, the fractures were reduced using posterior vertebral instrumentation. Prolonged compression of the thoracic aorta resulted in extensive necrosis of muscle tissues in the right lower leg. Fortunately, clinical and radiological examinations performed 7 months and 1 year later did not reveal any further damage. Cases of thoracic vertebral fracture with concomitant blunt thoracic aortic injury reported in the literature are reviewed. Thoracic endovascular aortic repair is a feasible, safe, and effective minimally invasive treatment for aortic injury when combined with thoracic vertebral fracture.

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Section: Introductionmentioning

confidence: 99%

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Hong²,

Pan³

et al. 2022

Front. Surg.

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Endovascular Aortic Repair for Thoracic Aortic Compression Resulting From Chance Fracture of the Thoracic Spine

Matsuo

Matsuyama

Kurisu

et al. 2023

Texas Heart Institute Journal

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Blunt aortic injury is a serious condition with a high mortality rate. Although rare, blunt aortic injury associated with spinal fracture has also been reported, and appropriate management of aortic disease is key to a good outcome. This report is a case of a 78-year-old man who was found to have a transverse fracture (Chance fracture) in the ninth thoracic vertebra, with a sharp bone fragment compressing the thoracic aorta. Early spinal surgery was needed; however, there was concern about the possibility of bleeding from the aorta and surrounding small arteries associated with the bone fragment during spinal surgery. Therefore, thoracic endovascular aortic repair was performed before spinal surgery. The next day after thoracic endovascular aortic repair, posterior spinal instrumentation was performed, and the postoperative course was uneventful. Because aortic injury associated with vertebral fracture can lead to massive bleeding and spinal cord injury, endovascular repair before spinal surgery is reasonable.

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Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

Seyoum¹,

Kejela²

2019

CSRC

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Background: Blunt thoracic arterial injuries are among the rare causes for presentation at trauma centers. Most of the literature on these injuries is in the form of case reports and case series, with no significantly consolidated data available. Methods: A systematic review of English language case reports and case series from 2000 to 2019 was carried out using the PubMed and Google Scholar search engines. Results: The mean patient ages were 35.9, 36.4, and 44.3 years for thoracic aorta, innominate, and subclavian artery injuries, respectively. Of the innominate artery injury patients, 89.7% were male. Motor vehicle-related injuries contributed to 50.9% of thoracic aortic injuries. A blood pressure/pulse deficit was recorded in 34.8% and 20.7% of patients with subclavian and innominate artery injuries, respectively, and chest pain and hemodynamic instability were found in 23.5% and 20.5% of aortic injury patients, respectively. Clavicular fracture was the most common associated finding in subclavian artery injury patients at 42%. Computed tomography was performed in 21.7%, 47.1%, and 27.6% of patients with subclavian artery, thoracic aorta, and innominate artery injuries, respectively. An endovascular intervention was performed in 44.1% of patients with subclavian artery injuries. Conclusion: Injury to the subclavian artery is relatively common among the older population. Blood pressure or pulse discrepancies could point to either subclavian or innominate artery injury. An endovascular intervention can be considered in all patients but must be individualized based on patient and facility factors.

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Initial experience with the treatment of concomitant aortic pseudoaneurysm and thoracolumbar spinal fracture: Case report

Cited by 3 publications

References 14 publications

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Endovascular Aortic Repair for Thoracic Aortic Compression Resulting From Chance Fracture of the Thoracic Spine

Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

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