Perioperative thrombotic occlusion of left external iliac artery during anterior lumbar interbody fusion
- 150 Downloads
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.
KeywordsLumbar surgery Anterior lumbar interbody fusion Vascular complications Iliac artery thrombosis
- 10.Heary RF, Benzel EC, Vaicys C (2005) Anterior lumbar interbody fusion. In: Benzel EC (ed) Spine surgery techniques, complication avoidance, and management, 2nd edn. Churchill Livingstone, Philadelphia, pp 474–485Google Scholar
- 14.Mitchell RN, Cotran RS (1999) Hemodynamic disorders, thrombosis, and shock. In: Cotran RS, Kumar V, Collins T (eds) Robbins pathologic basis of disease, 6th edn. Saunders, Philadelphia, pp 124–129Google Scholar
- 18.Sonmez B, Yorukoglu Y, Williams BT (1990) Traction injury in the internal mammary artery. Report of a case and review the literature. J Cardiovasc Surg 31:592–594Google Scholar