Sunada M, Ito T, Nakayama M, Abe T, Hagiwara H, Kawamura A, Yoshizumi T
Department of Cardiovascular Surgery, Nagoya First Red Cross Hospital, Nagoya, Japan.
Kyobu Geka. 2009 Mar;62(3):247-50.
We report a 74-year-old man with aortoesophageal fistula due to aotic aneurysm. He underwent 2 stage operations. At the 1st operation the graft replacement of thoracic aorta and esophagectomy were performed. Inflammatory reactions improved with systemic administration of antibiotics and continuous irrigation of the thoracic cavity. On the 21st postoperative day, the esophagus was reconstructed by gastrointestinal interposition technique via ante-thoracic route. On the 58th post operative day he was discharged.
我们报告一例因主动脉瘤导致主动脉食管瘘的74岁男性患者。他接受了两期手术。在第一次手术中,进行了胸主动脉移植置换术和食管切除术。通过全身应用抗生素和持续冲洗胸腔,炎症反应得到改善。术后第21天,经胸前途径采用胃肠间置技术重建食管。术后第58天,他出院了。