Zia Haris, McCoy Matthew D, Sturgill Jamie, Hadid Walid, Maskey Ashish P
Department of Hospital Medicine, University of Kentucky, United States.
Department of Pulmonary and Critical Care Medicine, University of Kentucky, United States.
Respir Med Case Rep. 2024 Sep 16;52:102108. doi: 10.1016/j.rmcr.2024.102108. eCollection 2024.
Cardiac septal occluder (CSO) can be used endoscopically in treatment of tracheoesophageal fistula (TEF). We present a case of metastatic cervical cancer with direct tracheal invasion resulting in malignant TEF treated previously with radiotherapy and tracheal stenting twice. This TEF was closed by CSO - patent foramen ovale (PFO) occluder as palliative management to prevent recurrent aspiration pneumonia, decrease morbidity and improve quality of life.
心脏间隔封堵器(CSO)可在内镜下用于治疗气管食管瘘(TEF)。我们报告一例转移性宫颈癌直接侵犯气管导致恶性TEF的病例,该患者此前接受过放疗和两次气管支架置入治疗。使用CSO - 卵圆孔未闭(PFO)封堵器封闭该TEF作为姑息治疗,以预防反复发生的吸入性肺炎,降低发病率并改善生活质量。