Mazhar Khurum, Narain Aditya, Mohamed Saifullah, Patel Akshay J, Abid Qamar, Bouras George
Department of Cardiothoracic Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
J Surg Case Rep. 2020 Jul 2;2020(6):rjaa193. doi: 10.1093/jscr/rjaa193. eCollection 2020 Jun.
The following report describes a case in which air in the aorta led to stroke from cerebral emboli in a patient with distal oesophageal cancer. The patient presented with clinical features of a right-sided stroke. Computed tomography scans revealed air in the ascending aorta and brachiocephalic artery as a result of an oesophago-atrial fistula. The patient deteriorated and died soon after hospital admission despite conservative measures successfully dissipating the air. When encountered, emergent treatment of the underlying cause should be addressed but the outcome remains poor.
以下报告描述了一例远端食管癌患者因主动脉内空气导致脑栓塞性中风的病例。患者表现出右侧中风的临床特征。计算机断层扫描显示，由于食管心房瘘，升主动脉和头臂动脉内有空气。尽管采取了保守措施成功驱散了空气，但患者入院后不久病情恶化并死亡。遇到这种情况时，应紧急治疗潜在病因，但预后仍然很差。
