Ihaya A, Chiba Y, Kimura T, Morioka K, Uesaka T, Muraoka R
Second Department of Surgery, Fukui Medical University Hospital, Yoshida-gun, Japan.
J Cardiovasc Surg (Torino). 2000 Apr;41(2):325-7.
Primary aortoenteric fistula is a rare disease with a fatal outcome unless it is diagnosed accurately and treated surgically. We present an elderly patient with primary aortosigmoid fistula confirmed by endoscopy. Descending thoracic aortofemoral bypass was performed and the aortoiliac aneurysm and sigmoid colon were then resected in continuity. The patient maintains a good quality of life 6 years after the operation with good graft patency and no sign of graft infection.
原发性主动脉肠瘘是一种罕见疾病，若不进行准确诊断和手术治疗，预后往往致命。我们报告一例经内镜确诊的老年原发性主动脉乙状结肠瘘患者。实施了降主动脉股动脉旁路移植术，随后连续切除了主髂动脉瘤和乙状结肠。术后6年，患者生活质量良好，移植血管通畅，无移植血管感染迹象。
