Rupture of aorta and inferior vena cava during lumbar disc surgery

Prabhakar, Hemanshu; Bithal, P. K.; Dash, M.; Chaturvedi, Aprajita

doi:10.1007/s00701-004-0405-2

Cited by 40 publications

(49 citation statements)

References 7 publications

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“…We believe that the aggressive manipulations of the spinal surgeon and the sharpness of the scalpel led to the anterior movement of the fragment. In 1953, Leavens and Bradford reported that the defects in the anterior annulus fibrosus and longitudinal ligaments could allow great vessel injuries during spinal surgery (3,5), which could have contributed to the complication in this case.…”

Section: Discussionmentioning

confidence: 84%

“…Lacerations to vessels are early vascular complications while arteriovenous fistulas and pseudoaneurysms are defined as late vascular complications (5). The present early complication developed after part of a broken scalpel blade was lost during posterior microdiscectomy.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of great vessel injury was reported to be rare at between 1 and 5 in 10,000 cases. However, the mortality rate stands at 40-80% according to the injury and the importance of vessels involved (5). The location of vascular injury is related to the level of spinal surgery.…”

Section: Discussionmentioning

confidence: 99%

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A wandering intravascular scalpel fragment after lumbar discectomy: a case report

Aras¹,

Özkan²,

Alar³

et al. 2014

Turkish Neurosurgery

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Vascular complications after lumbar discectomy are rarely seen. We present a unique and potentially life-threatening postoperative complication from this procedure. A 27-year-old man was admitted to our emergency vascular unit 1 day after a lumbar discectomy, during which a scalpel blade fragmented and a part was lost. Radiological images of the patient were performed and a broken scalpel blade was located anterior to the sacrum. An anterior laparotomy was performed which identified a mass within the left iliac vein that migrated suddenly to the inferior vena cava. An emergency angiography was performed, by which time the scalpel blade had ascended to the right-sided inferior pulmonary artery. It was subsequently removed via a right lateral thoracotomy.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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A wandering intravascular scalpel fragment after lumbar discectomy: a case report

Aras¹,

Özkan²,

Alar³

et al. 2014

Turkish Neurosurgery

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show abstract

“…In patients undergoing lumbar disc surgery, major vascular injuries are rare but very serious, life-threatening complications (1)(2)(3)(4)(5). During the operation, in case of sudden hemodynamic instability, considering the possibility of a major vascular injury and dynamic intervention can be lifesaving (1)(2)(3)(4)(5) De Saussure has reported 106 cases of vascular injury due to lumbar disc surgery in 1958(4).…”

Section: Discussionmentioning

confidence: 99%

“…Major vascular injury is one of them and it may be fatal if not noticed in time (1). This type of injury is more common especially during lumbar region intervertebral disc surgery, due to proximity of the anterior longitudinal ligament and major vascular structures located anteriorly (1)(2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Abdominal aortic injury due to lumbar disc surgery: A case report

Yıldız

Öztaş

Şahin

et al. 2014

UCD

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Complications arising from lumbar intervertebral disc surgery are rare but fatal. Major vascular injury is one complication that may end in death unless it is diagnosed and treated immediately. Herein we report an abdominal aortic injury due to L3-L4 intervertebral disc surgery that was treated successfully and discuss it in light of current literature. Diagnosis and treatment of an abdominal aortic injury in a 31-year-old male patient operated on for L3-L4 intervertebral disc degeneration is discussed. Interestingly, in spite of abdominal aortic injury this particular patient was hemodynamically stable. The diagnosis was made 12 hours after disc surgery and laparotomy was performed immediately. As the injury in the aorta was large and had irregular margins, it could not be repaired with primary repair but an end-to-end anastomosis with partial resection was performed. In lumbar intervertebral disc hernia surgery, peroperative hemodynamic instability should raise suspicion of major vascular injury with high mortality and appropriate surgical treatment should be done as soon as possible. If there is any finding suggesting an intraoperative vascular injury, the patient should be kept under close monitoring in order not to delay diagnosis and treatment. It should not be forgotten that hemodynamic stability does not rule out major vascular injury.

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Fistola artero-venosa iliaco-cavale iatrogena

Niola¹,

Maglione²

Imaging Nelle Urgenze Vascolari — Body

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Rupture of aorta and inferior vena cava during lumbar disc surgery

Cited by 40 publications

References 7 publications

A wandering intravascular scalpel fragment after lumbar discectomy: a case report

A wandering intravascular scalpel fragment after lumbar discectomy: a case report

Abdominal aortic injury due to lumbar disc surgery: A case report

Fistola artero-venosa iliaco-cavale iatrogena

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