Korean J Spine.  2017 Sep;14(3):118-120. 10.14245/kjs.2017.14.3.118.

Aortic Injury during Transforaminal Lumbar Interbody Fusion

Affiliations
  • 1Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. jotak01@hallym.or.kr

Abstract

Aortic injury during transforaminal lumbar interbody fusion (TLIF) is a rare but severe complication. We experienced aortic injury during TLIF at L3-4 with a 59-year-old woman diagnosed with an adjacent segment disease at L3-4. Severe bleeding occurred during disc space expansion, and the blood pressure dropped to 60/40 mmHg. The patient's vital sign stabilized after compression with gauze and Gelfoam in addition to blood transfusion. The patient was treated with endovascular repair using a percutaneous technique after intertransverse fusion at L3-4 was completed. She recovered and is being followed-up in the outpatient department.

Keyword

Aortic rupture; False aneurysm; Intraoperative complications; Endovascular procedures; Intervertebral disc

MeSH Terms

Aneurysm, False
Aortic Rupture
Blood Pressure
Blood Transfusion
Endovascular Procedures
Female
Gelatin Sponge, Absorbable
Hemorrhage
Humans
Intervertebral Disc
Intraoperative Complications
Middle Aged
Outpatients
Vital Signs
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