Abstract
A 73-year-old man was admitted with severe back pain. Enhanced computed tomography (CT) showed a lobular dilatation of thoracic abdominal aorta, which eroded into anterior part of the adjacent vertebral bodies at T12 and L1. T1 weighted MR image revealed a hypo-intensity signal at the T12/L1. The diagnosis was infected thoracic abdominal aortic aneurysm (TAAA) associated with a pyogenic spondylitis. Following to antibiotic therapy for 3 weeks, the patient was underwent the operation. Terminal aorta was reconstructed with blood vessel prosthesis, bypass grafts were constructed to perfuse the visceral and renal arteries. Thoracic endovascular stent grafts were deployed to seal the pseudoaneurysm (hybrid-procedure). Postoperative CT revealed no endoleak in the TAAA. Thereafter, the patient was underwent spinal surgery, anterior reconstruction of the thoracolumbar spine and posterior spinal fixation. Postoperatively, the patient had significant reduction in pain, and there were no perioperative complications. Hybridprocedure may be an alternative to standard open procedures in high-risk cases.
