Abstract
We report a rare case in which mechanical extrinsic erosion of the descending thoracic aorta resulted in perforation and periaortic hematoma formation in a 16-year-old girl. Five months before admission to our clinic, the patient had undergone surgical spondylosyndesis with inner vertebral fixation, for the correction of scoliosis. Subsequently, a screw on the fixator became loose, eroding and eventually perforating the wall of the descending aorta. The resultant lesion was at first misdiagnosed as a paravertebral abscess; extrinsic perforation of the descending aorta was suspected prior to operation, but was confirmed only upon surgical exploration. After evacuation of the hematoma, the 1.5-cm aortic perforation was closed directly with continuous sutures. Seven months later, the patient continues to do well. (Texas Heart Institute Journal 1991;18:136-9)
Keywords: Aorta, descending
Keywords: aortic aneurysm/aneurysm, dissecting
Keywords: aortic erosion, extrinsic
Keywords: scoliosis
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- Hilgenberg A. D., Rainer W. G., Sadler T. R., Jr Aneurysm of the descending thoracic aorta: replacement with the use of a shunt or bypass. J Thorac Cardiovasc Surg. 1981 Jun;81(6):818–824. [PubMed] [Google Scholar]
- Plume S., DeWeese J. A. Traumatic rupture of the thoracic aorta. Arch Surg. 1979 Mar;114(3):240–243. doi: 10.1001/archsurg.1979.01370270014002. [DOI] [PubMed] [Google Scholar]
- Ruberti U., Odero A., Arpesani A., Giorgetti P. L., Cugnasca M., Rampoldi V., Anguissola G. B., Morbidelli A., Scorza R., Selva S. Surgical treatment of thoracic aortic aneurysms. Personal experience. J Cardiovasc Surg (Torino) 1988 May-Jun;29(3):245–256. [PubMed] [Google Scholar]
- Scannell J. G. Surgical management of major chest injury. Surg Clin North Am. 1966 Jun;46(3):539–550. doi: 10.1016/s0039-6109(16)37881-1. [DOI] [PubMed] [Google Scholar]
- Shahian D. M., Javid H., Faber L. P., Kittle C. F., Matthew G. R. Lesions of the thoracic aorta and its arch branches simulating neoplasm. J Thorac Cardiovasc Surg. 1981 Feb;81(2):251–263. [PubMed] [Google Scholar]