Ikeda T, Yokota Y, Ando F, Okamoto F, Otani S, Nakanishi K, Sugita T, Nishimori H, Makino S, Yoshikawa E
Department of Surgery, Heart Institute, Amagasaki Hospital.
Kyobu Geka. 1991 Nov;44(12):1045-7.
A case of fatal hematemesis due to an aberrant right subclavian artery-esophageal fistula is presented. The patient was a 9-year-old male child with complex congenital heart disease and developed the fistula by prolonged tracheal and nasogastric intubation after Fontan type operation. To avoid this unusual but serious complication, aberrant subclavian artery should be treated surgically before repair of complex cardiac anomaly.
本文报告一例因右锁骨下动脉异常-食管瘘导致致命性呕血的病例。患者为一名9岁男性儿童,患有复杂先天性心脏病,在Fontan型手术后因长期气管插管和鼻胃管插管而形成瘘管。为避免这种罕见但严重的并发症,在修复复杂心脏畸形之前,应手术治疗异常的锁骨下动脉。