Kansal Vinay, Nagpal Sudhir
University of Ottawa, Faculty of Medicine, Canada.
University of Ottawa, Division of Vascular Surgery, Canada; Ottawa Hospital Research Institute, Canada.
Respir Med Case Rep. 2015 Jul 15;16:51-3. doi: 10.1016/j.rmcr.2015.07.004. eCollection 2015.
We report a case of a 46-year old man who presented with spontaneous bright red blood per mouth for several months. The patient had history of aortic coarctation repair at age 17. Endoscopy and nasopharyngeoscopy revealed no source of bleeding. Computed tomography scan revealed the presence of thoracic aortic pseudoaneurysm with the formation of an aortobronchial fistula (ABF). This case illustrates the high index of suspicion for ABF in the case of hemoptysis or hematemesis with prior history of coarctation repair. Furthermore, we discuss the role of thoracic endovascular aneurysm repair (TEVAR) as the standard of repair over open surgery.
我们报告一例46岁男性患者，该患者数月来一直出现自发性口腔鲜红色出血。患者17岁时曾接受主动脉缩窄修复术。内镜检查和鼻咽镜检查未发现出血源。计算机断层扫描显示存在胸主动脉假性动脉瘤并形成主动脉支气管瘘（ABF）。该病例表明，对于有缩窄修复病史且出现咯血或呕血的患者，应高度怀疑ABF。此外，我们讨论了胸主动脉腔内修复术（TEVAR）作为优于开放手术的标准修复方法的作用。
