A Spinal Osteophyte as Indication for Treatment of an Infra-renal Aortic Aneurysm

Introduction

Infra-renal aortic aneurysm rupture is a feared condition, therefore is it important to preview potential factors that could lead to it.

Report

A 59-year-old male with ankylosing spondylitis presented with a 4.6 cm diameter infra-renal aortic aneurysm. He had an osteophyte like a harpoon of the third and fourth lumbar vertebra, contacting directly with the aneurysm wall. The patient was submitted to an endovascular procedure.

Discussion

Surgical treatment was mandatory because of the potential high risk of rupture produced by the continuous trauma of the aorta against the osteophyte. The authors believe that this case reveals a possible new indication for treatment.