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Thorac Cardiovasc Surg 2013; 61(07): 606-609
DOI: 10.1055/s-0033-1333843
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Large Aortic Pseudoaneurysm and Subsequent Spondylodiscitis as a Complication of Endovascular Treatment of Iliac Arteries

Federico Faccenna
1   Division of Vascular Surgery, Department of Surgery and Transplant “P. Stefanini,” Sapienza University of Rome, Rome, Italy
,
Alessia Alunno
1   Division of Vascular Surgery, Department of Surgery and Transplant “P. Stefanini,” Sapienza University of Rome, Rome, Italy
,
Anna Castiglione
1   Division of Vascular Surgery, Department of Surgery and Transplant “P. Stefanini,” Sapienza University of Rome, Rome, Italy
,
Martina Carnevalini
2   Department of Infectious Diseases, Sapienza University of Rome, Rome, Italy
,
Salvatore Venosi
1   Division of Vascular Surgery, Department of Surgery and Transplant “P. Stefanini,” Sapienza University of Rome, Rome, Italy
,
Bruno Gossetti
1   Division of Vascular Surgery, Department of Surgery and Transplant “P. Stefanini,” Sapienza University of Rome, Rome, Italy
› Author Affiliations
Further Information

Publication History

01 September 2012

03 December 2012

Publication Date:
05 April 2013 (online)

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Abstract

Both aortic pseudoaneurysm following endovascular aortoiliac reconstruction and spondylodiscitis subsequent to endograft infections are rare complications. We present a case of aortic false aneurysm following iliac arteries treatment complicated by spondylodiscitis after its endovascular repair. In this patient, a huge aortic pseudoaneurysm was diagnosed and treated in an emergency setting a few days after the procedure. A left aortomonoiliac endograft was placed and a femoro-femoral crossover bypass was performed. Afterward, the patient developed a stent graft infection and a lumbar spondylodiscitis. The patient was managed with a conservative treatment and, after 4 years, he continues to live. Analyzing this case, we would like to point out the following aspects: any procedure, although well established and technically simple, can cause life-threatening complications; hematomas resulting from endovascular exclusion of large pseudoaneurysms could be drained, to prevent bacterial infections.

Keywords

pseudoaneurysm - endograft infection - kissing balloon technique - spondylodiscitis
 

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