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主动脉食管瘘作为B型主动脉夹层的晚期并发症。

Aortoesophageal fistula as a late complication of type B aortic dissection.

作者信息

Vasquez Julio C, Delarosa Jacob, Leon Juan J

机构信息

Portneuf Medical Center and Idaho State University, Pocatello, ID 83201, USA.

出版信息

Vascular. 2011 Feb;19(1):55-8. doi: 10.1258/vasc.2010.cr0204.

DOI:10.1258/vasc.2010.cr0204
PMID:21489929
Abstract

We present a patient with aortoesophageal fistula that occurred years after an acute type B aortic dissection that was treated medically. This patient developed aneurysmal dilatation of the chronically dissected aorta, which finally eroded into the esophagus. Endovascular management with the placement of a stent graft was performed, but the patient ultimately died of multiorgan failure and possible myocardial infarction.

摘要

我们报告一例患者，其在接受药物治疗的急性B型主动脉夹层数年之后发生了主动脉食管瘘。该患者慢性夹层的主动脉出现瘤样扩张，最终侵蚀至食管。我们对其进行了血管内支架植入术治疗，但患者最终死于多器官功能衰竭及可能的心肌梗死。

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