Nozdrzykowski Michal, Garbade Jens, Leinung Steffen, Schmidt Andrej, Mohr Friedrich-Wilhelm, Borger Michael A
Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.
Department of Visceral and Thoracic Surgery, Park Hospital, Leipzig, Germany.
Aorta (Stamford). 2017 Jun 1;5(3):96-100. doi: 10.12945/j.aorta.2017.16.044. eCollection 2017 Jun.
A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion. The patient was monitored closely over time.
一名63岁女性因A型主动脉夹层接受了主动脉根部、升主动脉和部分主动脉弓置换术。此后不久，又进行了远端主动脉弓和降主动脉置换术。三年后，患者出现主动脉食管瘘（AEF），导致再次用冷冻保存的主动脉同种异体移植物置换远端主动脉弓和近端降主动脉。出院六周后，患者因复发性AEF再次入院。植入了一枚胸段血管腔内支架移植物以覆盖主动脉破裂处，随后对食管病变进行了矫正。对患者进行了长期密切监测。
