Hybrid approach for removal of an errant intra-vascular pedicle spinal fixation screw in the thoracic aorta

Benjamin D. Colvard, Javier E. Anaya-Ayala, Christopher J. Smolock, Alan B. Lumsden, Michael J. Reardon, Mark G. Davies

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Late presentation of aortic injuries secondary to internal fixation hardware is uncommon and generally associated with pseudoaneurysm formation. We herein present a case of transmural migration of a pedicle screw into the descending thoracic aorta, which was revealed incidentally by computed tomography scan after almost 4 years of hardware implantation. Approximately 75% of the pedicle screw was exposed to the bloodstream, and was successfully removed using endovascular segmental exclusion to avoid aortic cross-clamping and an open approach via left thoracotomy. This case illustrates the successful repair of an iatrogenic aortic injury using a hybrid technique.

Original languageEnglish (US)
Pages (from-to)201-204
Number of pages4
JournalJournal of vascular surgery
Volume56
Issue number1
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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