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伪装成呕血的主动脉-支气管瘘：胸主动脉血管移植物罕见的晚期并发症。

Aorto-bronchial fistula masquerading as haematemesis: a rare late complication of thoracic aortic vascular grafts.

作者信息

Peacock Timothy, Limmer Alexandra M, Zahid Assad

机构信息

Department of Colorectal Surgery, Liverpool Hospital, Sydney, NSW, Australia.

出版信息

J Surg Case Rep. 2023 Mar 14;2023(3):rjad131. doi: 10.1093/jscr/rjad131. eCollection 2023 Mar.

DOI:10.1093/jscr/rjad131
PMID:36926622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10014145/
Abstract

Aorto-bronchial fistula is an exceedingly rare pathology with high mortality. Late vascular graft infection may occur secondary to haematogenous seeding of bacteria from a distant source such as gastrointestinal infection. We present an unusual case of aorto-bronchial fistula masquerading as haematemesis in a patient with sigmoid diverticulitis, and review the pathophysiology, diagnosis, surgical and endovascular management of aorto-bronchial fistulas.

摘要

主动脉-支气管瘘是一种极为罕见且死亡率很高的病症。晚期血管移植感染可能继发于细菌从远处来源（如胃肠道感染）经血行播散。我们报告了一例不寻常的病例，一名患有乙状结肠憩室炎的患者，其主动脉-支气管瘘伪装成呕血，并对主动脉-支气管瘘的病理生理学、诊断、外科和血管内治疗进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e699/10014145/c36aeb7bff82/rjad131f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e699/10014145/32a490c6d60c/rjad131f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e699/10014145/c36aeb7bff82/rjad131f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e699/10014145/32a490c6d60c/rjad131f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e699/10014145/c36aeb7bff82/rjad131f2.jpg

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Aorto-bronchial fistula masquerading as haematemesis: a rare late complication of thoracic aortic vascular grafts.伪装成呕血的主动脉-支气管瘘：胸主动脉血管移植物罕见的晚期并发症。
J Surg Case Rep. 2023 Mar 14;2023(3):rjad131. doi: 10.1093/jscr/rjad131. eCollection 2023 Mar.
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本文引用的文献

1
Thoracic endovascular aortic repair for aortobronchial fistula.胸主动脉腔内修复术治疗主动脉支气管瘘。
Ann Thorac Surg. 2013 Sep;96(3):1117-21. doi: 10.1016/j.athoracsur.2013.04.090. Epub 2013 Aug 2.
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Complications of the surgery of patent ductus arteriosus.动脉导管未闭手术的并发症。
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Outcome after endovascular stent graft treatment for mycotic aortic aneurysm: a systematic review.感染性主动脉瘤血管内支架移植物治疗后的结局：一项系统评价
J Vasc Surg. 2007 Nov;46(5):906-12. doi: 10.1016/j.jvs.2007.07.025. Epub 2007 Oct 1.
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Aorto-pulmonary fistula due to failure of an Ivalon graft for coarctation of the aorta.因用于主动脉缩窄的Ivalon移植物失效导致的主肺动脉瘘。
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Postoperative aortic fistulas into the airways: etiology, pathogenesis, presentation, diagnosis, and management.术后主动脉瘘入气道：病因、发病机制、表现、诊断及处理
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Emergency management of aorto-bronchial fistula after implantation of a self-expanding bronchial stent.
Eur J Cardiothorac Surg. 2001 Sep;20(3):642-4. doi: 10.1016/s1010-7940(01)00836-3.
7
Unusual origin and fistulization of an aortic pseudoaneurysm: "off-pump" surgical repair.主动脉假性动脉瘤的罕见起源与瘘形成：“非体外循环”手术修复
Ann Thorac Surg. 1999 Oct;68(4):1406-7. doi: 10.1016/s0003-4975(99)00704-3.
8
Aortobronchial fistula after expandable metal stent insertion for pediatric bronchomalacia.小儿支气管软化症置入可扩张金属支架后发生主动脉支气管瘘。
J Pediatr Surg. 1998 Aug;33(8):1306-8. doi: 10.1016/s0022-3468(98)90175-0.
9
Aortobronchial fistula after unilateral lung transplantation.单侧肺移植术后主动脉支气管瘘
Ann Thorac Surg. 1993 Dec;56(6):1402-3. doi: 10.1016/0003-4975(93)90695-e.
10
Repair of a traumatic false aneurysm of the aorta perforating into the bronchus.修复穿破至支气管的主动脉创伤性假性动脉瘤。
J Cardiovasc Surg (Torino). 1971 Mar-Apr;12(2):93-4.