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远端主动脉弓部感染性动脉瘤致主动脉支气管瘘的血管内治疗:1 例报告

Endovascular treatment of an aortobronchial fistula caused by a distal aortic arch mycotic aneurysm: report of a case.

机构信息

Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

出版信息

Surg Today. 2010;40(1):54-6. doi: 10.1007/s00595-008-3997-y. Epub 2009 Dec 29.

DOI:10.1007/s00595-008-3997-y
PMID:20037840
Abstract

We report a case of an aortobronchial fistula causing massive hemoptysis, which was managed by emergency stent grafting. Although this procedure was successful initially, the aortobronchial fistula appeared again 7 months later. Aneurysmectomy, followed by rifampicin-soaked gelatin sealed polyester graft replacement and omentopexy, was performed under cardiopulmonary bypass. The patient, a 73-year-old woman, had an uneventful postoperative course and the infection was eradicated.

摘要

我们报告了一例因主动脉支气管瘘导致大量咯血的病例,该病例通过紧急支架移植术进行了治疗。尽管该手术最初取得了成功,但 7 个月后主动脉支气管瘘再次出现。在体外循环下进行了动脉瘤切除术,随后使用利福平浸泡的明胶密封聚酯移植物置换和网膜固定术。患者为 73 岁女性,术后过程顺利,感染得到消除。

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Aortobronchial fistula.主动脉支气管瘘
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Haemoptysis or haematemesis? The not so bleeding obvious.咯血还是呕血?并非那么显而易见的出血情况。

本文引用的文献

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Successful treatment of an aorto-ileal-conduit fistula with an endovascular stent graft: report of a case.血管内支架移植物成功治疗主动脉-回肠瘘:病例报告
Surg Today. 2007;37(4):305-7. doi: 10.1007/s00595-006-3402-7. Epub 2007 Mar 26.
2
Midterm outcome in 158 consecutive Gore TAG thoracic endoprostheses: single center experience.158例连续使用戈尔TAG胸段腔内血管修复装置的中期结果:单中心经验
Ann Thorac Surg. 2006 May;81(5):1570-7; discussion 1577. doi: 10.1016/j.athoracsur.2005.06.068.
3
Successful treatment of an aortoesophageal fistula after emergency endovascular thoracic aortic stent-graft placement.
BMJ Case Rep. 2014 Apr 29;2014:bcr2014204059. doi: 10.1136/bcr-2014-204059.
急诊血管腔内胸主动脉覆膜支架置入术后成功治疗主动脉食管瘘
Ann Thorac Surg. 2005 Sep;80(3):1117-20. doi: 10.1016/j.athoracsur.2004.02.136.
4
Endoaortic stent grafting of a giant infected hepatic-celiac pseudoaneurysm.巨大感染性肝-腹腔干假性动脉瘤的主动脉内支架植入术。
J Vasc Surg. 2005 Jul;42(1):159-62. doi: 10.1016/j.jvs.2005.03.057.
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Emergency endovascular interventions for acute thoracic aortic rupture: four-year follow-up.急性胸主动脉破裂的急诊血管内介入治疗:四年随访
J Thorac Cardiovasc Surg. 2005 Mar;129(3):645-51. doi: 10.1016/j.jtcvs.2004.09.034.
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Endovascular repair in the presence of aortic infection.存在主动脉感染时的血管腔内修复术。
Ann Vasc Surg. 2005 Jan;19(1):94-8. doi: 10.1007/s10016-004-0144-0.
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