Okamura Kenichi, Suematsu Yoshihiro, Morizumi Sei, Kawata Mitsuhiro
Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba-City, Ibaraki, Japan.
Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba-City, Ibaraki, Japan
Eur J Cardiothorac Surg. 2015 May;47(5):e229-31. doi: 10.1093/ejcts/ezv102.
An 87-year old man with a past medical history of a descending aortic aneurysm for 20 years presented with progressive dysphagia and aspiration pneumonia. Computed tomography angiography demonstrated the impending rupture of the thoracic aortic aneurysm (TAA) and endoscopic examinations revealed the extrinsic compression of the middle oesophagus with Rokitansky's diverticulum proximal to the compression area. He underwent urgent thoracic endovascular aortic aneurysm repair, followed by oesophageal stenting. The patient's symptoms immediately improved, and the postoperative period was uneventful. This report is the first to describe a hybrid stenting therapy for dysphagia aortica with Rokitansky's diverticulum concomitant with a TAA.
一名有降主动脉瘤病史20年的87岁男性，出现进行性吞咽困难和吸入性肺炎。计算机断层血管造影显示胸主动脉瘤（TAA）即将破裂，内镜检查显示食管中段有外在压迫，压迫区域近端有罗基坦斯基憩室。他接受了紧急胸主动脉腔内修复术，随后进行了食管支架置入术。患者症状立即改善，术后恢复顺利。本报告首次描述了一种针对伴有罗基坦斯基憩室的主动脉性吞咽困难合并TAA的混合支架治疗方法。
