升主动脉-食管瘘经全主动脉弓修复联合食管修复术治疗。
An aorto-oesophageal fistula treated with total arch repair combined with oesophageal repair.
机构信息
Department of Cardiovascular Surgery, Guangdong Provincial Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
出版信息
Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):145-147. doi: 10.1093/icvts/ivab038.
Aorto-oesophageal fistula is a rare but fatal disease. Open surgical repair or endotube repair of aorta and oesophagus save patients from circulatory deterioration, major haematemesis and severe infection. Here we present a rare case of an aorto-oesophageal fistula in the right hemi-arch caused by a fish bone treated with an alternative surgical strategy. Total aortic arch repair using the frozen elephant trunk procedure combined with oesophageal repair were performed. No aortic fistula, oesophageal fistula or artificial graft infection occurred in the follow-up.
主动脉-食管瘘是一种罕见但致命的疾病。开放手术修复或主动脉和食管内支架修复可防止患者循环恶化、大量呕血和严重感染。在此，我们报告一例罕见的右半弓主动脉-食管瘘，由鱼骨引起，采用了替代手术策略进行治疗。我们采用冰冻象鼻技术进行全主动脉弓修复，同时进行食管修复。随访中未发生主动脉瘘、食管瘘或人工移植物感染。
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