Kampe Sandra, Rocha Miguel, Darwiche Kaid, Ebmeyer Uwe, Georgios Stamatis
Abteilung für Anästhesiologie und Schmerztherapie Ruhrlandklinik, Universitätsklinikum Essen.
Abteilung für Interventionelle Pneumologie, Ruhrlandklinik, Universitätsklinikum Essen.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2016 Jun;51(6):368-71. doi: 10.1055/s-0041-110265. Epub 2016 Jun 30.
We present a 54 year old female patient who had undergone a Ross procedure in 2009, and in 2013 again a replacement of the aortic root and arch with bioprothetic material and homograft replacement of the pulmonalis walve. Postoperatively the patient had experienced a functional compromising tracheal stenosis and a persistent esophago-tracheal fistula. Endoscopic attempts to close the fistula were not successful, and the fistula was "bridged" with an endoscopically positioned tracheal stent.We report the anaesthesiological management during the open surgical repair of the esophago-tracheal fistula and resection of 2 tracheal rings with high frequency jet ventilation over a period of 2.5 h. The Patient was discharged from hospital on the 17. postoperative day.
我们介绍一位54岁的女性患者，她于2009年接受了罗斯手术，并于2013年再次用生物假体材料置换主动脉根部和主动脉弓，同时用同种异体移植置换肺动脉瓣。术后，患者出现了功能性气管狭窄和持续性食管气管瘘。内镜下试图闭合瘘管未成功，遂用内镜放置的气管支架“桥接”瘘管。我们报告了在开放手术修复食管气管瘘和切除2个气管环过程中的麻醉管理，期间高频喷射通气持续了2.5小时。患者术后第17天出院。
