Ayyappan Anoop, Valakkada Jineesh, Bursupalle Mahesh Reddy, Kannath Santhosh Kumar, Pitchai Shivanesan
Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, SCTIMST, Trivandrum, Kerala 695011 India.
Department of Cardiovascular and thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695011 India.
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(4):422-425. doi: 10.1007/s12055-022-01342-1. Epub 2022 Mar 22.
Aorto-enteric fistulas (AEF) are uncommon causes of gastrointestinal bleeding. Both surgical and endovascular options are described for the management of AEF. A hybrid approach is recommended in cases of recurrent AEF. Herein we present a patient with recurrent secondary AEF with severe hypotension, melaena, and hematemesis, who underwent embolization of the residual aortic stump with the parallel placement of two vascular plugs and onyx for control of the situation.
The online version contains supplementary material available at 10.1007/s12055-022-01342-1.
主动脉肠瘘(AEF)是胃肠道出血的罕见原因。手术和血管内治疗方案均有用于AEF的管理。对于复发性AEF,推荐采用联合治疗方法。在此,我们报告一名复发性继发性AEF患者,伴有严重低血压、黑便和呕血,该患者接受了残余主动脉残端栓塞术,并行放置两个血管塞和使用奥尼克斯胶以控制病情。
在线版本包含可在10.1007/s12055-022-01342-1获取的补充材料。