Bond S E, McGuinness C L, Reidy J F, Taylor P R
Department of Surgery, Guy's & St. Thomas' Hospital Trust, London, England, UK.
J Endovasc Ther. 2001 Dec;8(6):597-601. doi: 10.1177/152660280100800611.
To describe a case of secondary aortoesophageal fistula that was treated with an endoluminal stent-graft.
A 58-year-old woman presented with hematemesis and melena. In 1974 she had an interposition graft repair of an aortic transection sustained during a traffic accident. At the examination in 1998, angiography demonstrated a mechanical disruption of the proximal anastomosis forming an aortoesophageal fistula. A 28-mm x 3.75-cm AneuRx stent-graft was introduced via a right femoral arteriotomy and deployed across the defect. Follow-up CT scans at 18 months showed exclusion of the false aneurysm with no evidence of infection; the patient remains well at >2 years after stent-graft implantation.
Endoluminal repair can be successful in achieving a satisfactory midterm outcome in cases of secondary aortoesophageal fistula.
描述1例采用腔内支架型人工血管治疗的继发性主动脉食管瘘病例。
一名58岁女性出现呕血和黑便。1974年，她因交通事故导致主动脉横断而接受了间置移植修复术。1998年检查时，血管造影显示近端吻合口机械性破裂，形成主动脉食管瘘。通过右股动脉切开术置入一个28mm×3.75cm的AneuRx支架型人工血管，并跨越缺损处展开。18个月后的随访CT扫描显示假性动脉瘤被隔绝，无感染迹象；支架型人工血管植入术后2年多，患者情况良好。
对于继发性主动脉食管瘘病例，腔内修复可成功取得令人满意的中期疗效。
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