Matsumoto Ryota, Shimamura Kazuo, Shijo Takayuki, Maeda Koichi, Yamashita Kizuku, Ide Toru, Miyagawa Shigeru
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Minimally Invasive Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Ann Thorac Surg Short Rep. 2023 Aug 6;1(4):619-622. doi: 10.1016/j.atssr.2023.07.004. eCollection 2023 Dec.
Aortoesophageal fistula is a challenging condition, especially when the aortic arch is involved. Optimal treatment, including surgical approach and adjunctive procedures for organ protection, remains debatable. We describe our strategy for treating aortoesophageal fistula involving the aortic arch using total arch replacement with the heart beating ("beating total arch replacement") under partial cardiopulmonary bypass.
主动脉食管瘘是一种具有挑战性的病症,尤其是当主动脉弓受累时。包括手术方式和器官保护辅助程序在内的最佳治疗方法仍存在争议。我们描述了在部分体外循环下使用心脏跳动下全弓置换术(“跳动全弓置换术”)治疗累及主动脉弓的主动脉食管瘘的策略。