胸主动脉腔内修复术后的主动脉-食管瘘：成功的开放治疗
Aorto-Esophageal Fistula After Thoracic Endovascular Aortic Repair: Successful Open Treatment.
作者信息
Dumfarth Julia, Dejaco Hannes, Krapf Christoph, Schachner Thomas, Wykypiel Heinz, Schmid Thomas, Pratschke Johann, Grimm Michael
机构信息
Department of Cardiac Surgery, University Clinic Innsbruck, Innsbruck, Austria;
Department of Anesthesiology, University Clinic Innsbruck, Innsbruck, Austria; and.
出版信息
Aorta (Stamford). 2014 Feb 1;2(1):37-40. doi: 10.12945/j.aorta.2014.13-056. eCollection 2014 Feb.
Abstract
We present the case of a 56-year-old patient suffering from an aorto-esophageal fistula after complex treatment of acute Type A dissection including thoracic endovascular aortic repair (TEVAR) of the descending aorta. Open surgical descending replacement using a pericardial patch, as well as esophagectomy, was performed. After a long and complicated hospital stay, the patient finally recovered and was discharged in stable condition. By choosing an aggressive surgical approach the patient survived this devastating complication of TEVAR, which is associated with high mortality.
摘要
我们报告了一例56岁患者的病例，该患者在接受包括降主动脉腔内修复术（TEVAR）在内的急性A型主动脉夹层复杂治疗后发生了主动脉-食管瘘。进行了使用心包补片的开放手术降主动脉置换术以及食管切除术。经过漫长而复杂的住院治疗后，患者最终康复并以稳定状态出院。通过选择积极的手术方法，患者在这种与高死亡率相关的TEVAR严重并发症中存活了下来。
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