{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:47:57Z","timestamp":1793382477989,"version":"4.5.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The safety of endovascular treatment, such as thoracic endovascular aortic repair (TEVAR), for a descending thoracic aortic aneurysm has been well-established, with a reported low postoperative mortality rate but higher incidences of long-term complications such as endo-leakage, device failure, and aneurysm-related death. Based on this, we report the first case of massive thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after TEVAR.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 77-year-old female with a history of TEVAR due to descending thoracic aortic arch aneurysm 4\u00a0years ago was referred from the cardiovascular clinic to the spine center. The patient presented with persisting back pain, which began 3\u00a0years after TEVAR and progressively worsened. Physical examination was notable for tenderness in the upper thoracic region without any neurological deficits. Computed tomography of the aorta and thoracic spine showed bony erosion into the T5\u2013T7 vertebral bodies. Magnetic resonance imaging of the thoracic spine confirmed a perianeurysmal outpouching lesion eroding into the T5\u2013T7 vertebral bodies due to pulsating pressure. We performed the posterior instrumented fusion from T3 to T9 at the thoracic spine and TEVAR at remnant endo-leakage lesions.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Since the progression of such a condition can have a catastrophic outcome, and because the treatment options vary, serial follow-up through an interdisciplinary approach is important in cases with a high index of suspicion of a perianeurysmal outpouching lesion.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-024-08265-5","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T08:29:45Z","timestamp":1736238585000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoracic vertebral body erosion due to a perianeurysmal outpouching lesion after thoracic endovascular aortic repair: a case report and literature review"],"prefix":"10.1186","volume":"26","author":[{"given":"Hong Jin","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joonghyun","family":"Ahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kee-Yong","family":"Ha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Gune","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"issue":"9","key":"8265_CR1","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1001\/jamasurg.2023.2934","volume":"158","author":"S Cifuentes","year":"2023","unstructured":"Cifuentes S, Mendes BC, Tabiei A, Scali ST, Oderich GS, DeMartino RR. Management of endoleaks after elective infrarenal aortic endovascular aneurysm repair: a review. JAMA Surg. 2023;158(9):965\u201373.","journal-title":"JAMA Surg"},{"issue":"3","key":"8265_CR2","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1055\/s-0035-1558824","volume":"32","author":"DA Nation","year":"2015","unstructured":"Nation DA, Wang GJ. TEVAR: endovascular repair of the thoracic aorta. Semin Intervent Radiol. 2015;32(3):265\u201371.","journal-title":"Semin Intervent Radiol"},{"issue":"26","key":"8265_CR3","doi-asserted-by":"publisher","first-page":"E1665","DOI":"10.1097\/BRS.0b013e318273dc66","volume":"37","author":"V Arici","year":"2012","unstructured":"Arici V, Rossi M, Bozzani A, Moia A, Odero A. Massive vertebral destruction associated with chronic rupture of infrarenal aortic aneurysm: case report and systematic review of the literature in the English language. 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The authors have obtained written informed consent from the patient to publish this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors have obtained written informed consent from the patient to publish this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"25"}}