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.
Abdominal aortic rupture and spondylodiscitis: Emergent EVAR and staged spinal fixation / Capoccia, Laura; Menna, Danilo; Montelione, Nunzio; R., Tarantino; Marruzzo, Daniele; Sbarigia, Enrico; Speziale, Francesco. - In: ANNALS OF VASCULAR SURGERY. - ISSN 0890-5096. - STAMPA. - 28:5(2014), pp. 1312.e7-1312.e11. [10.1016/j.avsg.2013.08.029]
Abdominal aortic rupture and spondylodiscitis: Emergent EVAR and staged spinal fixation
CAPOCCIA, LAURA;MENNA, DANILO;MONTELIONE, NUNZIO;MARRUZZO, DANIELE;SBARIGIA, Enrico;SPEZIALE, Francesco
2014
Abstract
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.