Korean J Thorac Cardiovasc Surg.  2019 Jun;52(3):186-188. 10.5090/kjtcs.2019.52.3.186.

Graft Perforation by a Spinal Bony Spur: An Unusual Cause of Late Bleeding after Thoracoabdominal Aorta Replacement

• Yoon SH
• Park KH

• KMID: 2455166
• DOI: http://doi.org/10.5090/kjtcs.2019.52.3.186

Abstract

We report an unusual case of delayed bleeding after open surgical repair of a thoracoabdominal aortic aneurysm. A 79-year-old man developed a massive retroperitoneal hematoma 49 days after Crawford type III thoracoabdominal aorta replacement. During emergency surgery, a tear was found in the prosthetic vascular graft caused by a sharp bony spur arising from the second lumbar vertebral body. This rare, but potentially lethal, complication indicates that attention should be paid to sharp bony structures during open repair of the descending aorta.

Keyword

Aorta, surgery; Hemorrhage; Surgery; Complication

MeSH Terms

Aged
Aorta*
Aorta, Thoracic
Aortic Aneurysm, Thoracic
Emergencies
Hematoma
Hemorrhage*
Humans
Tears
Transplants*