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主动脉食管瘘:治疗方法选择——病例报告与文献综述

Aortoesophageal fistula: alternatives of treatment case report and literature review.

作者信息

Flores Jorge, Shiiya Norihiko, Kunihara Takashi, Yoshimoto Kimihiro, Yasuda Keishu

机构信息

Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2004 Aug;10(4):241-6.

Abstract

Aortoesophageal fistula (AEF) remains as a life-threatening condition with a high rate of morbidity and mortality. It is usually related to aortic or esophageal disease, and less commonly foreign body ingestion. In spite of several strategies for treatment, there is little consensus regarding the optimal management of this entity. In this paper, we present our experience in successfully managing one patient with AEF by performing open surgical repair. We also include a discussion on criteria for selecting the most appropriate alternative of treatment: open or endovascular repair, based on a review of the literature currently available in MEDLINE.

摘要

主动脉食管瘘(AEF)仍然是一种危及生命的疾病,发病率和死亡率很高。它通常与主动脉或食管疾病有关,较少与异物摄入有关。尽管有几种治疗策略,但对于该疾病的最佳管理几乎没有共识。在本文中,我们介绍了通过开放手术修复成功治疗一名AEF患者的经验。我们还根据对MEDLINE中现有文献的回顾,讨论了选择最合适治疗方案(开放或血管内修复)的标准。

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