Reardon M J, Brewer R J, LeMaire S A, Baldwin J C, Safi H J
Department of Surgery, Baylor College of Medicine, The Methodist Hospital, Houston, Texas 77030, USA.
Ann Thorac Surg. 2000 Mar;69(3):967-70. doi: 10.1016/s0003-4975(99)01087-5.
Aortoesophageal fistula, secondary to thoracic aortic aneurysm, is an uncommon cause of gastrointestinal bleeding that is uniformly fatal without surgical intervention. These may be primary fistulas, in cases of thoracic aortic aneurysm without previous repair, or secondary fistulas occurring after surgical repair of thoracic aortic aneurysm. Surgical treatment has been successful in a small number of cases of primary aortoesophageal fistula, secondary to thoracic aortic aneurysm, but techniques used have varied. We report a successful repair of primary aortoesophageal fistula, secondary to descending thoracic aortic aneurysm, and review the evolution of management since the three previously reported successful repairs at our institution.
继发于胸主动脉瘤的主动脉食管瘘是胃肠道出血的一种罕见原因，若无手术干预通常会致命。这些瘘可能是原发性的，即胸主动脉瘤未进行过先前修复的情况，也可能是胸主动脉瘤手术修复后出现的继发性瘘。对于继发于胸主动脉瘤的原发性主动脉食管瘘，少数病例的手术治疗取得了成功，但所采用的技术各不相同。我们报告了一例成功修复继发于降主动脉瘤的原发性主动脉食管瘘的病例，并回顾了自本院此前报告的三例成功修复以来的治疗进展。
