Nilgün Işıksalan ÖZBÜLBÜL, Gökçen AKDOĞAN, Seda TOPAL, Muharrem TOLA, Mehmet YURDAKUL

Aortik greft seviyesinde kronik sınırlı ruptüre bağlı torakal vertebra erozyonu

Kronik sınırlı aortik ruptür nadir bir antite olup ruptüre anevrizmaların önemli bir alt grubunu oluşturur. Oluşan psödoanevrizma kesesi nadiren yaygın vertebra erozyonuna neden olabilir. Kronik ruptürler her an masif kanamaya yol açabileceklerinden acil cerrahi tedavi gerektirirler. Biz bu yazıda 31 yaşındaki erkek hastada, aortik greft kullanılarak onarılan anevrizmanın anostomoz lokalizasyonunda oluşan nadir rastlanan bir kronik ruptür olgusunun BT anjiografi ile tanısını sunuyoruz.

Erosion of thoracal vertebra by a chronic contained rupture after implantation of a prosthetic aortic graft

Chronic contained rupture of aortic aneurysm is a rare entity but important subset of ruptured aneurysms. The resultant pseudoaneurysmal sac may rarely cause extensive vertebral erosion. Chronic contained ruptures may undergo massive hemorrahage at any time, therefore rapid surgical repair is indicated. Here we describe an unusual case of a 31-years-old man with chroniccontained rupture of a thoracal descendan aortic aneurysm at the site of prior graft repair of the aneurysm diagnosing by CT angiography.

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