血管畸形所致主动脉-食管瘘：病例描述及文献分析

Zhang Wenzhao, Hu Xu, Yu Jianqun

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China.

Department of Emergency, West China Hospital, Sichuan University, Chengdu 610041, China.

J Cardiovasc Dev Dis. 2025 Jul 8;12(7):262. doi: 10.3390/jcdd12070262.

Aorto-esophageal fistula (AEF) is a condition with an extremely high mortality rate that often causes massive gastrointestinal bleeding, commonly resulting from esophageal perforation due to foreign bodies or aortic aneurysmal malformations. This case report introduces an elderly male patient who experienced hematemesis for longer than 16 h without obvious cause. The patient did not receive relief from endoscopic compression hemostasis. Through computed tomography angiography (CTA), a tortuous and thickened vessel was found in the descending aorta of the patient, which entered the esophagus. The diagnosis was AEF caused by vascular malformation. which has not been previously documented in the literature.

主动脉食管瘘（AEF）是一种死亡率极高的疾病，常导致大量胃肠道出血，通常由异物或主动脉瘤畸形引起的食管穿孔所致。本病例报告介绍了一名老年男性患者，他出现无明显原因的呕血超过16小时。患者接受内镜压迫止血治疗无效。通过计算机断层扫描血管造影（CTA），在患者降主动脉中发现一条迂曲且增粗的血管进入食管。诊断为血管畸形导致的AEF，此前文献中未见报道。