Asian Spine J.  2013 Dec;7(4):345-350. 10.4184/asj.2013.7.4.345.

Delayed Infrarenal Aortic Pseudoaneurysm Treated by Endovascular Stent Graft in Pyogenic Spondylitis

Affiliations
  • 1Department of Orthopaedic Surgery, Musculoskeletal Center, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea. hgchang@hallym.or.kr
  • 2Department of Radiology, Hallym University Dongtan Sacred Heart Hospital Korea, Hallym University College of Medicine, Hwaseong, Korea.
  • 3Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Abstract

A 61-year-old male patient with pyogenic spondylodiscitis and epidural and psoas abscesses underwent posterior decompression, debridement, and instrumented fusion, followed by anterior debridement and reconstruction. Sudden onset flank pain was diagnosed 7 weeks postoperatively and was determined to be a pseudoaneurysm located at the aorta inferior to the renal artery and superior to the aortic bifurcation area. An endovascular stent graft was applied to successfully treat the pseudoaneurysm. Postoperative recovery was uneventful and infection status was stabilized.

Keyword

False aneurysm; Endovascular procedure; Stents; Spondylitis

MeSH Terms

Aneurysm, False*
Aorta
Blood Vessel Prosthesis*
Debridement
Decompression
Discitis
Endovascular Procedures
Flank Pain
Humans
Male
Middle Aged
Psoas Abscess
Renal Artery
Spondylitis*
Stents*
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