Maleux Geert, Bielen Didier, Heye Sam, Van Schaeybroeck Patrick, Nevelsteen André, Vanbeckevoort Dirk
Department of Radiology, University Hospitals Gasthuisberg, Belgium.
J Vasc Surg. 2005 Jul;42(1):163-7. doi: 10.1016/j.jvs.2005.03.032.
We report a case of translumbar embolization of an aortic pseudoaneurysm complicating lumbar disk surgery. The iatrogenic pseudoaneurysm was initially treated by open repair, but due to failure of this treatment, we opted for direct translumbar thrombin injection under computed tomography (CT) guidance. The patient recovered completely, and follow-up CT scans showed progressive shrinkage of the residual retroperitoneal hematoma. This minimally invasive treatment should be considered in selected cases as a valuable treatment option for pseudoaneurysms that arise from the aorta.
