Ryan T. Hagino, MD, G.Patrick Clagett, MD, R.James Valentine, MD

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Presentation transcript:

A case of Pott's disease of the spine eroding into the suprarenal aorta Ryan T. Hagino, MD, G.Patrick Clagett, MD, R.James Valentine, MD Journal of Vascular Surgery Volume 24, Issue 3, Pages 482-486 (September 1996) DOI: 10.1016/S0741-5214(96)70206-9 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 MRI of T12 and L1 vertebrae shows bony destruction of anterior bodies by infectious process. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 CT scan at level of juxtarenal aorta shows aneurysmal change of aorta and contiguous lytic lesion of spine. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Visceral arteriogram demonstrates saccular suprarenal extent of aneurysm with graft below. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Diagram demonstrates suprarenal infected pseudoaneurysm. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Diagram shows status after definitive repair. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Postoperative angiogram demonstrates patent, bifurcated SFPV graft arising from descending thoracic aorta to superior mesenteric artery and left renal artery. Journal of Vascular Surgery 1996 24, 482-486DOI: (10.1016/S0741-5214(96)70206-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions