Abdominal Aortic Rupture and Spondylodiscitis: Emergent EVAR and Staged Spinal Fixation

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• 作者：Laura Capoccia¹ ; Danilo Menna¹ ; ^{dmenna@hotmail.it" class="auth_mail} ; ^{danilo.menna@uniroma1.it" class="auth_mail} ; Nunzio Montelione¹ ; Roberto Tarantino² ; Daniele Marruzzo² ; Enrico Sbarigia¹ ; Francesco Speziale¹
• 刊名：Annals of Vascular Surgery
• 出版年：July 2014
• 年：2014
• 卷：28
• 期：5
• 页码：1312.e7-1312.e11
• 全文大小：1292 K

文摘

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.