Carmignani Amedeo, Lentini Salvatore, Acri Edvige, Vazzana Giovanni, Campello Mauro, Volpe Pietro, Acri Ignazio E, Spinelli Francesco
Cardiovascular and Thoracic Department, Policlinico G. Martino University Hospital, School of Specialty in Vascular Surgery, University of Messina, Messina, Italy.
J Card Surg. 2013 Mar;28(2):163-7. doi: 10.1111/jocs.12052. Epub 2013 Jan 7.
Aortic injuries represent a rare but life-threatening complication of spinal surgery. Perforation of the aorta due to pedicle screw penetration or misplacement can lead to immediate bleeding with hemodynamic instability or to pseudoaneurysm development with delayed risk of rupture, which can occur weeks to months later. Recently, thoracic endovascular aortic repair (TEVAR) in aortic trauma has contributed to a reduction of both mortality and morbidity. The literature on this subject is reviewed.
主动脉损伤是脊柱手术中一种罕见但危及生命的并发症。椎弓根螺钉穿透或位置不当导致的主动脉穿孔可导致立即出血并伴有血流动力学不稳定，或导致假性动脉瘤形成，后期有破裂风险，这种情况可能在数周或数月后发生。最近，胸主动脉腔内修复术（TEVAR）在主动脉创伤治疗中有助于降低死亡率和发病率。本文对该主题的文献进行了综述。
