Pseudoaneurysm of the Thoracoabdominal Aortic Graft Due to Intercostal Nerve Block.
Aneurysm, False
/ diagnostic imaging
Aortic Aneurysm, Thoracic
/ diagnostic imaging
Blood Vessel Prosthesis Implantation
/ adverse effects
Chronic Pain
Follow-Up Studies
Humans
Iatrogenic Disease
Imaging, Three-Dimensional
Injections, Intralesional
Intercostal Nerves
/ physiopathology
Male
Middle Aged
Nerve Block
/ adverse effects
Pain Management
/ adverse effects
Pain, Postoperative
/ diagnosis
Reoperation
/ methods
Tomography, X-Ray Computed
/ methods
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
13
01
2019
revised:
24
01
2019
accepted:
25
01
2019
pubmed:
16
3
2019
medline:
15
1
2020
entrez:
16
3
2019
Statut:
ppublish
Résumé
Pseudoaneurysms of the descending aorta after open graft replacement usually occur in patients with connective tissue disorders and form at anastomotic or cannulation sites. We present a case of an iatrogenic pseudoaneurysm in the descending thoracic aortic graft body caused by intercostal nerve block. The patient had undergone repair for thoracoabdominal aortic aneurysm 4 years prior and underwent a series of intercostal nerve blocks after experiencing persistent postthoracotomy pain. A pseudoaneurysm in the descending thoracic graft, contiguous with the chest wall, was encountered. He underwent successful pseudoaneurysm resection with redo graft replacement, resulting in significant pain relief.
Identifiants
pubmed: 30872096
pii: S0003-4975(19)30327-3
doi: 10.1016/j.athoracsur.2019.01.073
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e189-e191Informations de copyright
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.