Endovascular Aortic Repair for Thoracic Aortic Compression Resulting From Chance Fracture of the Thoracic Spine

Aortic injury, specifically blunt aortic injury, is a dangerous condition often caused by high-impact trauma. This is made more complex when associated with spinal fractures. This case report details a 78-year-old man who suffered a spinal fracture that compressed his thoracic aorta. To address this, doctors performed a TEVAR procedure. TEVAR was performed before spinal surgery to prevent potential bleeding complications during the spinal procedure, demonstrating a strategy for managing such complex cases.

• 1
  The patient had a transverse fracture (Chance fracture) in the ninth thoracic vertebra, leading to compression of the thoracic aorta by a bone fragment.
• 2
  Thoracic endovascular aortic repair (TEVAR) was successfully performed before spinal surgery to prevent aortic injury during spinal instrumentation.
• 3
  Postoperative imaging confirmed the resolution of aortic compression, and the patient recovered well, demonstrating the effectiveness of the TEVAR-first approach in this scenario.