Orozco-Hernandez Erik J, McGiffin David, Von Mering Gregory, Ahmed Mustafa, Thachuthara-George Joseph, Kyanam-Kabir-Baig Kondal R, Hoopes Charles W
Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Division of Cardiothoracic Surgery, Department of Surgery, Alfred Hospital and Monash University, Melbourne, Australia.
Ann Thorac Surg Short Rep. 2022 Dec 10;1(2):332-334. doi: 10.1016/j.atssr.2022.12.001. eCollection 2023 Jun.
Lung transplantation is associated with a higher morbidity and mortality compared with transplantation of other solid organs, which is related, in part, to the occurrence of airway complications. A bronchoesophageal fistula associated with dehiscence of the right bronchial anastomosis developed in a 59-year-old man after bilateral lung transplantation. Multiple endoscopic and bronchoscopic stent procedures failed to close the fistula. Five months after the lung transplant, the fistula was successfully closed with an Amplatzer ADO septal occluder device. One year later, the fistula was still closed, but because of the development of multiple gastrointestinal complications, the patient received palliative care.
与其他实体器官移植相比，肺移植的发病率和死亡率更高，这在一定程度上与气道并发症的发生有关。一名59岁男性在双侧肺移植后出现了与右支气管吻合口裂开相关的支气管食管瘘。多次内镜和支气管镜支架置入术均未能闭合瘘口。肺移植术后五个月，使用Amplatzer ADO房间隔封堵器成功闭合了瘘口。一年后，瘘口仍然闭合，但由于出现了多种胃肠道并发症，患者接受了姑息治疗。
