Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review
Abstract Background The safety of endovascular treatment, such as thoracic endovascular aortic repair (TEVAR), for a descending thoracic aortic aneurysm has been well-established, with a reported low postoperative mortality rate but higher incidences of long-term complications such as endo-leakage,...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-08265-5 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841545027122102272 |
|---|---|
| author | Hong Jin Kim Joonghyun Ahn Kee-Yong Ha Dong-Gune Chang |
| author_facet | Hong Jin Kim Joonghyun Ahn Kee-Yong Ha Dong-Gune Chang |
| author_sort | Hong Jin Kim |
| collection | DOAJ |
| description | Abstract Background The safety of endovascular treatment, such as thoracic endovascular aortic repair (TEVAR), for a descending thoracic aortic aneurysm has been well-established, with a reported low postoperative mortality rate but higher incidences of long-term complications such as endo-leakage, device failure, and aneurysm-related death. Based on this, we report the first case of massive thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after TEVAR. Case presentation A 77-year-old female with a history of TEVAR due to descending thoracic aortic arch aneurysm 4 years ago was referred from the cardiovascular clinic to the spine center. The patient presented with persisting back pain, which began 3 years after TEVAR and progressively worsened. Physical examination was notable for tenderness in the upper thoracic region without any neurological deficits. Computed tomography of the aorta and thoracic spine showed bony erosion into the T5–T7 vertebral bodies. Magnetic resonance imaging of the thoracic spine confirmed a perianeurysmal outpouching lesion eroding into the T5–T7 vertebral bodies due to pulsating pressure. We performed the posterior instrumented fusion from T3 to T9 at the thoracic spine and TEVAR at remnant endo-leakage lesions. Conclusions Since the progression of such a condition can have a catastrophic outcome, and because the treatment options vary, serial follow-up through an interdisciplinary approach is important in cases with a high index of suspicion of a perianeurysmal outpouching lesion. |
| format | Article |
| id | doaj-art-157f07fe91d244fc873e20068bf83f9c |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-157f07fe91d244fc873e20068bf83f9c2025-01-12T12:04:50ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611710.1186/s12891-024-08265-5Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature reviewHong Jin Kim0Joonghyun Ahn1Kee-Yong Ha2Dong-Gune Chang3Spine Center and Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, College of Medicine, Inje UniversityDepartment of Orthopedic Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaSpine Center and Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, College of Medicine, Inje UniversityAbstract Background The safety of endovascular treatment, such as thoracic endovascular aortic repair (TEVAR), for a descending thoracic aortic aneurysm has been well-established, with a reported low postoperative mortality rate but higher incidences of long-term complications such as endo-leakage, device failure, and aneurysm-related death. Based on this, we report the first case of massive thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after TEVAR. Case presentation A 77-year-old female with a history of TEVAR due to descending thoracic aortic arch aneurysm 4 years ago was referred from the cardiovascular clinic to the spine center. The patient presented with persisting back pain, which began 3 years after TEVAR and progressively worsened. Physical examination was notable for tenderness in the upper thoracic region without any neurological deficits. Computed tomography of the aorta and thoracic spine showed bony erosion into the T5–T7 vertebral bodies. Magnetic resonance imaging of the thoracic spine confirmed a perianeurysmal outpouching lesion eroding into the T5–T7 vertebral bodies due to pulsating pressure. We performed the posterior instrumented fusion from T3 to T9 at the thoracic spine and TEVAR at remnant endo-leakage lesions. Conclusions Since the progression of such a condition can have a catastrophic outcome, and because the treatment options vary, serial follow-up through an interdisciplinary approach is important in cases with a high index of suspicion of a perianeurysmal outpouching lesion.https://doi.org/10.1186/s12891-024-08265-5Vertebral body erosionAortic arch aneurysmThoracic endovascular aortic repairPerianeurysmal outpouching lesion |
| spellingShingle | Hong Jin Kim Joonghyun Ahn Kee-Yong Ha Dong-Gune Chang Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review BMC Musculoskeletal Disorders Vertebral body erosion Aortic arch aneurysm Thoracic endovascular aortic repair Perianeurysmal outpouching lesion |
| title | Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review |
| title_full | Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review |
| title_fullStr | Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review |
| title_full_unstemmed | Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review |
| title_short | Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review |
| title_sort | thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair a case report and literature review |
| topic | Vertebral body erosion Aortic arch aneurysm Thoracic endovascular aortic repair Perianeurysmal outpouching lesion |
| url | https://doi.org/10.1186/s12891-024-08265-5 |
| work_keys_str_mv | AT hongjinkim thoracicvertebralbodyerosionduetoaperianeurysmaloutpouchinglesionafterthoracicendovascularaorticrepairacasereportandliteraturereview AT joonghyunahn thoracicvertebralbodyerosionduetoaperianeurysmaloutpouchinglesionafterthoracicendovascularaorticrepairacasereportandliteraturereview AT keeyongha thoracicvertebralbodyerosionduetoaperianeurysmaloutpouchinglesionafterthoracicendovascularaorticrepairacasereportandliteraturereview AT donggunechang thoracicvertebralbodyerosionduetoaperianeurysmaloutpouchinglesionafterthoracicendovascularaorticrepairacasereportandliteraturereview |