Subject(s)
Endovascular Procedures/adverse effects , Intraoperative Care/methods , Intraoperative Complications/diagnosis , Oxygen/cerebrospinal fluid , Spinal Cord Ischemia/diagnosis , Humans , Intraoperative Complications/etiology , Partial Pressure , Spinal Cord Ischemia/etiology , Treatment OutcomeABSTRACT
Aortic iatrogenic injuries during spinal instrumentation are rare but carry a high risk of mortality. In this report, we describe the case of a 26-year-old man with traumatic vertebral fracture and subsequent spinal cord injury who underwent posterior vertebral fixation at our trauma center. The neurosurgical procedure was complicated by the misplacement of a spinal pedicle screw, which almost penetrated the descending thoracic aorta. To avoid a possibly fatal bleeding, we safely removed the pedicle screw with the help of a prophylactic proximal compliant aortic balloon ready to be inflated in case of hemorrhage. Follow-up computed tomography scan did not detect any defect of the aortic wall, nor any sign of bleeding. After a 15-month follow-up, the patient is alive and in good physical conditions, with little residual neurologic deficit due to the spinal trauma.
Subject(s)
Aorta, Thoracic/surgery , Balloon Occlusion , Bone Screws , Device Removal , Foreign-Body Migration/surgery , Fracture Fixation, Internal/instrumentation , Iatrogenic Disease , Spinal Fractures/surgery , Vascular System Injuries/surgery , Accidental Falls , Adult , Aorta, Thoracic/diagnostic imaging , Aorta, Thoracic/injuries , Emergencies , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/etiology , Fracture Fixation, Internal/adverse effects , Humans , Male , Spinal Fractures/diagnostic imaging , Spinal Fractures/etiology , Treatment Outcome , Vascular System Injuries/diagnostic imaging , Vascular System Injuries/etiologyABSTRACT
We report the rare case of a young boy affected by idiopathic multiple aneurysms at different arterial locations who was treated at our institution with different surgical and endovascular techniques.
Subject(s)
Aneurysm, False/surgery , Aneurysm, Ruptured/surgery , Aortic Aneurysm, Abdominal/surgery , Brachial Artery/surgery , Iliac Aneurysm/surgery , Vascular Surgical Procedures , Vertebral Artery/surgery , Aneurysm, False/diagnostic imaging , Aneurysm, Ruptured/diagnostic imaging , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortography/methods , Brachial Artery/diagnostic imaging , Child , Computed Tomography Angiography , Endovascular Procedures , Humans , Iliac Aneurysm/diagnostic imaging , Male , Treatment Outcome , Vertebral Artery/diagnostic imagingABSTRACT
We report a case of a 54-year-old Caucasian male with exertional dyspnea who underwent palliative resection of a solitary right ventricular metastasis one year after liver transplant for a multifocal HBV-related hepatocellular carcinoma (HCC). After nine months the patient remains asymptomatic and cardiac MRI shows no local progression of the tumor.
