Vertebral Body Erosion in a 27-Year-Old Woman 12 Years After Thoracic Endovascular Aortic Repair

A 27-year-old woman presented with persisting, medically refractory back pain. Patient history revealed severe blunt chest trauma after a car accident at the age of 14. She had been 1 of the first adolescents to be treated by thoracic endovascular aortic repair (TEVAR) for acute rupture of the aortic isthmus, covering the distal aortic arch down to the thoracic level of Th7. First symptoms of back pain occurred 5 years after TEVAR and became progressively severe in the following years, and she required medical and orthopedic therapy. Eventually, when her back pain became unbearable at the age of 27, a computed tomography scan revealed an erosion …