Yoshitake Akihiro, Okamoto Kazuma, Kasai Mio, Shimizu Hideyuki
From the Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Innovations (Phila). 2017 Sep/Oct;12(5):e13-e15. doi: 10.1097/IMI.0000000000000412.
Ruptured thoracic aortic aneurysms, having aorto-bronchial or pulmonary parenchymal fistulations, are life-threatening conditions, and current surgical treatment results are not satisfactory. Herein, we describe a 69-year-old man with a ruptured thoracic aortic aneurysm and aorto-pulmonary parenchymal fistulation that was successfully treated using a staged repair. The first stage involved an emergency thoracic endovascular aortic repair for salvage and the second stage involved radical pulmonary parenchymal repair with removal of the stent graft and aortic reconstruction for long-term survival.
破裂的胸主动脉瘤合并主动脉-支气管或肺实质瘘是危及生命的疾病，目前的外科治疗效果并不理想。在此，我们描述了一名69岁男性，患有破裂的胸主动脉瘤和主动脉-肺实质瘘，通过分期修复成功治疗。第一阶段包括急诊胸主动脉腔内修复术以挽救生命，第二阶段包括彻底的肺实质修复，移除支架移植物并进行主动脉重建以实现长期生存。
