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Abstract
Operative therapy is generally advocated for the management of chronic traumatic pseudoaneurysms
of the aorta. A potential complication of both thoracic and abdominal aortic aneurysmectomies
is paraplegia secondary to infarction or ischemia of the spinal cord. The present
report describes a patient with a traumatic aneurysm of the lower thoracic aorta immediately
adjacent to the origin of the anterior spinal artery, both delineated angiographically.
In this particular situation, it was elected to follow the patient because the aneurysm
was asymptomatic, small, and chronic, and because the risk of spinal cord injury associated
with aneurysmectomy was estimated to be high. Serial computerized tomography (CT)
scanning was used as a means of measuring the exact aneurysm size. Operation will
be recommended if the aneurysm produces symptoms or enlarges, as demonstrated by CT
scans.
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References
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Article info
Publication history
Accepted:
March 28,
1979
Identification
Copyright
© 1980 Published by Elsevier Inc.
