Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2019 Vol. 27 No 3

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2019.3.348   |  

A.G. MAKEEV 1, 2, S.A. KUSHTUMOV 1, 2, E.V. SHINKEVICH 2, P.I. MURAVIEV 2, M.P. GRUZIN 2, V.G. KUTORKIN 2

CHRONIC POSTTRAUMATIC THORACOABDOMINAL AORTIC ANEURYSM COMPLICATED BY RUPTURE

Irkutsk State Medical University 1,
Irkutsk State Regional Clinical Hospital 2, Irkutsk,
The Russian Federation

The article reports a rare clinical follow-up of the patient with chronic posttraumatic thoracoabdominal aortic aneurysm of IV type according to Crawford E.S., complicated with a rupture into the posterior mediastinum and retroperitoneal space. The occurrence of chronic posttraumatic thoracoabdominal aortic aneurysm is suspected to be associated with a blunt trauma of the lumbar region (a fall from own growth height) and with the aortic damage by metal structures implanted four years earlier for transpedicular fixation with intrabody vertebral fusion of the thoracic spine. Aneurysm rupture into the posterior mediastinum and retroperitoneal space, which occurred during the planned in-hospital examination of the patient, indicates the difficulties in predicting the moment of its onset. Timely diagnosis and emergency reconstructive surgery aimed at restoring the continuity of the damaged thoracoabdominal aorta, determined a good result of treatment. There is still no convincing information about the frequency of such complications as the formation of post-traumatic aneurysm after transpedicular fixation with interbody vertebral fusion of the spine; only the descriptions of single observations are presented. This fact stimulated us to describe a rather rare clinical follow-up.

Keywords: spinal trauma, transpedicular fixation, thoracoabdominal aortic aneurysm, aneurysm rupture, aortal prosthetics
p. 348-353 of the original issue
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Address for correspondence:
664003, The Russian Federation,
Irkutsk, Krasnoye Vosstaniye Str., 1,
Irkutsk State Medical University,
Department of Human Anatomy,
Operative Surgery and Forensic Medicine.
Tel. +7 902 576-75-41,
e-mail: a.makeev@ismu.baikal.ru,
alexandermakeev@rambler.ru,
Alexander G. Makeev
Information about the authors:
Makeev Alexander G., PhD, Associate Professor of the Department of Human Anatomy, Operative Surgery and Forensic Medicine, Irkutsk State Medical University, Cardiovascular Surgeon of the Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
http://orcid.org/0000-0002-4512-2656
Kushtumov Sergei A., PhD, Assistant of the Department of Hospital Surgery, Irkutsk State Medical University, Head of the Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
http://orcid.org/0000-0003-4630-1274
Shinkevich Eduard V., PhD, Cardiovascular Surgeon, Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
http://orcid.org/0000-0002-2729-4278
Muraviev Pavel I., Cardiovascular Surgeon, Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
http://orcid.org/0000-0002-9061-0544
Gruzin Maxim P., Cardiovascular Surgeon, Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
https://orcid.org/0000-0003-2801-4343
Kutorkin Victor G., Cardiovascular Surgeon, Vascular Surgery Unit, Irkutsk State Regional Clinical Hospital, Irkutsk, Russian Federation.
http://orcid.org/0000-0001-7891-7378
Contacts | ©Vitebsk State Medical University, 2007