Suppr超能文献

胸段主动脉腔内修复术后主动脉食管瘘的复杂两阶段开放手术修复。

Complex two-stage open surgical repair of an aortoesophageal fistula after thoracic endovascular aortic repair.

作者信息

Ochoa Chaar Cassius Iyad, Zafar Mohammad A, Velasquez Camilo, Saeyeldin Ayman, Elefteriades John A

机构信息

Section of Vascular and Endovascular Surgery, Yale University School of Medicine, New Haven, Conn.

Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Conn.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Jun 25;5(3):261-263. doi: 10.1016/j.jvscit.2019.02.011. eCollection 2019 Sep.

Abstract

Aortoesophageal fistula after thoracic endovascular aortic repair is a rare but fatal complication, and no clear guidelines exist in the literature for optimal management. Herein, we report a complex case of a patient with an infected thoracic endograft that led to an aortoesophageal fistula. The treatment comprised a two-stage open surgical approach-an extra-anatomic aortic bypass in the first stage, followed by explantation of the infected endograft with ligation of the descending thoracic aorta in the second. This approach controls the focus of infection while allowing flow to the aorta distal to the infected endograft, minimizing visceral ischemia time.

摘要

胸主动脉腔内修复术后发生主动脉食管瘘是一种罕见但致命的并发症,文献中尚无关于最佳治疗方案的明确指南。在此,我们报告一例复杂病例,患者因感染性胸段人工血管移植物导致主动脉食管瘘。治疗采用两阶段开放手术方法:第一阶段进行解剖外主动脉旁路移植术,第二阶段切除感染的人工血管移植物并结扎胸降主动脉。这种方法可控制感染病灶,同时使血流流向感染人工血管移植物远端的主动脉,最大限度地缩短内脏缺血时间。

相似文献

1
Complex two-stage open surgical repair of an aortoesophageal fistula after thoracic endovascular aortic repair.
J Vasc Surg Cases Innov Tech. 2019 Jun 25;5(3):261-263. doi: 10.1016/j.jvscit.2019.02.011. eCollection 2019 Sep.
4
Two-Step Operation for Aortoesophageal Fistula After Thoracic Endovascular Repair.
Cureus. 2024 Aug 19;16(8):e67169. doi: 10.7759/cureus.67169. eCollection 2024 Aug.
5
Aortoesophageal Fistula: A Fatal Complication of Thoracic Endovascular Aortic Stent-Graft Placement.
Am J Case Rep. 2018 Oct 23;19:1258-1261. doi: 10.12659/AJCR.911441.
9
Novel Management of an Aortoesophageal Fistula Prior to Definitive Surgical Repair.
Clin Med Insights Case Rep. 2019 Apr 23;12:1179547619839710. doi: 10.1177/1179547619839710. eCollection 2019.
10
Aortoesophageal fistula after thoracic endovascular aortic repair diagnosed and followed with endoscopy.
Intern Med. 2013;52(4):451-5. doi: 10.2169/internalmedicine.52.9139. Epub 2013 Feb 15.

引用本文的文献

1
Aortoesophageal fistula treated using one-stage total reconstruction: a case report from a high-volume center.
J Cardiothorac Surg. 2023 Nov 14;18(1):329. doi: 10.1186/s13019-023-02438-4.
2
Delayed simultaneous aortoesophageal and aortobronchial fistulae post thoracic endovascular aortic repair (TEVAR).
Indian J Thorac Cardiovasc Surg. 2023 Jan;39(1):53-56. doi: 10.1007/s12055-022-01422-2. Epub 2022 Oct 20.
3
One-stop hybrid surgery for treatment of complex Stanford type B aortic dissection.
J Int Med Res. 2021 Mar;49(3):300060520957933. doi: 10.1177/0300060520957933.
4
Risk Factors for Mortality in Patients with Aortoesophageal Fistula Related to Aortic Lesions.
Gastroenterol Res Pract. 2020 Sep 17;2020:4850287. doi: 10.1155/2020/4850287. eCollection 2020.

本文引用的文献

1
Surgical strategy for the treatment of aortoesophageal fistula.
J Thorac Cardiovasc Surg. 2018 Jan;155(1):32-40. doi: 10.1016/j.jtcvs.2017.09.047. Epub 2017 Sep 20.
2
Therapeutic strategy for treating aortoesophageal fistulas.
Gen Thorac Cardiovasc Surg. 2014 Oct;62(10):573-80. doi: 10.1007/s11748-014-0452-4. Epub 2014 Aug 26.
3
Emergency open surgery for aorto-oesophageal and aorto-bronchial fistulae after thoracic endovascular aortic repair: a single-centre experience†.
Eur J Cardiothorac Surg. 2015 Feb;47(2):374-82; discussion 382-3. doi: 10.1093/ejcts/ezu147. Epub 2014 Apr 17.
5
Late outcomes with repair of penetrating thoracic aortic ulcers: the merits of an endovascular approach.
Ann Thorac Surg. 2012 Aug;94(2):516-22; discussion 522-3. doi: 10.1016/j.athoracsur.2012.03.074. Epub 2012 May 22.
7
Outcome of surgical repair of aorto-eosophageal fistulas with cryopreserved aortic allografts.
Interact Cardiovasc Thorac Surg. 2012 May;14(5):532-7. doi: 10.1093/icvts/ivr154. Epub 2012 Feb 20.
9
Self-made pericardial tube graft: a new surgical concept for treatment of graft infections after thoracic and abdominal aortic procedures.
Ann Thorac Surg. 2011 Nov;92(5):1657-62. doi: 10.1016/j.athoracsur.2011.06.073. Epub 2011 Sep 25.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验