Tao Kaiyu, Cheng Haifeng, Hu Zhanglong, Kong Mingjian
Department of Cardiovascular Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Interact Cardiovasc Thorac Surg. 2017 Dec 1;25(6):990-992. doi: 10.1093/icvts/ivx167.
Oesophageal foreign body is an emergency situation. Once oesophageal perforation occurs, damage and subsequent infection involving surrounding tissue or organs may ensue. We present here a rare case of aorto-oesophageal fistula which was treated with challenges. An old lady with fishbone induced oesophageal perforation, aortic pseudoaneurysm and mediastinal haematoma was treated with great vessel stent-graft placed in aortic arch, and the fish bone was removed under endoscopy thereafter. During the early follow-up period, part of the graft stent was discovered in the oesophageal perforation with no haemorrhage. The patient is still in good condition during follow-up.
食管异物是一种紧急情况。一旦发生食管穿孔，可能会导致周围组织或器官的损伤及随后的感染。我们在此呈现一例治疗颇具挑战性的主动脉-食管瘘罕见病例。一位因鱼骨导致食管穿孔、主动脉假性动脉瘤和纵隔血肿的老年女性患者，先在主动脉弓置入大血管支架移植物进行治疗，随后在内镜下取出鱼骨。在早期随访期间，发现部分移植物支架位于食管穿孔处但未出血。随访期间患者状况良好。
