Pattison C W, Dorricott N J, Matthews H R
Scand J Thorac Cardiovasc Surg. 1984;18(3):279-82. doi: 10.3109/14017438409109909.
The second reported case and first successful treatment of oesophageal obstruction due to a saccular aneurysm of the distal thoracic aorta is described. The patient, a 69-year-old male, presented with severe dysphagia which was thought to be due either to achalasia or a tumour. Operation, however, revealed a large aneurysm at the level of the diaphragmatic hiatus which was compressing the oesophagus against the right crus. As the anatomy of the aneurysm was unknown and there was a significant risk of damage to the spinal arteries the oesophageal obstruction was treated by transposition of the oesophagus combined with an anti-reflux repair. This has given an excellent clinical result and the aneurysm has remained unchanged over a period of eighteen months.
本文描述了第二例报告的因胸段主动脉远端囊状动脉瘤导致食管梗阻并首次成功治疗的病例。患者为一名69岁男性，表现为严重吞咽困难，最初认为是贲门失弛缓症或肿瘤所致。然而，手术发现膈裂孔水平有一个大动脉瘤，它将食管压向右侧膈脚。由于动脉瘤的解剖结构不明，且有损伤脊髓动脉的重大风险，故采用食管转位联合抗反流修复术治疗食管梗阻。这一治疗取得了极佳的临床效果，且动脉瘤在18个月内保持不变。
