病例报告：食管癌穿孔导致右锁骨下动脉假性动脉瘤
Case report: right subclavian artery pseudoaneurysm due to perforation of esophageal cancer.
作者信息
Takishima T, Kataoka Y, Lin Z B, Imaizumi H, Katagiri H, Nishimaki H, Ohwada T, Kakita A
机构信息
Department of Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan.
出版信息
Ann Thorac Cardiovasc Surg. 2001 Feb;7(1):42-4.
A 51-year-old man presented with massive hematemesis. Perforation of upper esophageal cancer, which had already occurred at least six days earlier, progressed to upper mediastinitis. The mediastinitis contiguous to the right subclavian artery was considered to have caused a pseudoaneurysm. Rupture of the pseudoaneurysm into the esophagus resulted in massive hematemesis. Both enhanced computed tomography and angiography were diagnostic for the pseudoaneurysm. Transluminal endovascular stent-grafts placement was successful in preventing subsequent hemorrhage.
一名51岁男性出现大量呕血。至少6天前已发生的上段食管癌穿孔进展为上纵隔炎。与右锁骨下动脉相邻的纵隔炎被认为导致了假性动脉瘤。假性动脉瘤破裂进入食管导致大量呕血。增强计算机断层扫描和血管造影均诊断出假性动脉瘤。经腔内血管内支架移植物置入成功预防了后续出血。
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