Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 10, pp 1107–1110 | Cite as

Perioperative thrombotic occlusion of left external iliac artery during anterior lumbar interbody fusion

  • Jen-Hsuan Huang
  • Cheng-Hung Lee
  • Tzung-chieh Tsai
  • Shih-Yen PengEmail author
Orthopaedic Surgery


We report a case of thrombotic occlusion of left external iliac artery during the procedure of anterior lumbar interbody fusion. The diagnosis was confirmed by computed tomography angiography. The patient also developed severe rhabdomyolysis postoperatively. In spite of receiving emergent thromboendarterectomy, the patient expired on postoperative day 3. This report attempts to remind spinal surgeons and anesthesiologists of this rare but potentially fatal complication, and discuss the possible mechanism, management, and prevention.


Lumbar surgery Anterior lumbar interbody fusion Vascular complications Iliac artery thrombosis 


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Jen-Hsuan Huang
    • 1
  • Cheng-Hung Lee
    • 2
  • Tzung-chieh Tsai
    • 3
  • Shih-Yen Peng
    • 1
    Email author
  1. 1.Department of AnesthesiologyTaichung Veterans General HospitalTaichung CityTaiwan
  2. 2.Department of Orthopaedic SurgeryTaichung Veterans General HospitalTaichung CityTaiwan
  3. 3.Department of AnesthesiologyYang Ming HospitalChiayi CityTaiwan

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