Magee M J, Landreneau R J, Keenan R J, Hazelrigg S R, Posner M C, Ferson P F
Section of Thoracic Surgery, University of Pittsburgh, Pennsylvania 15213.
Am Surg. 1994 Aug;60(8):634-7.
The clinical courses of two patients with moderate atherosclerotic aneurysmal dilation of the upper abdominal aorta suffering significant thrombo-embolic sequelae following transhiatal esophagectomy are presented. Inadvertent dislodgement of debris from the diseased aorta during the course of the hiatal and intrathoracic "blunt" dissection was felt to be responsible for this uncommon postoperative problem. This potential complication should be kept in mind when operating near the esophageal hiatus during the course of esophagectomy in such vasculopathic patients.
本文介绍了两名患有上腹部主动脉中度动脉粥样硬化性动脉瘤扩张的患者，他们在经裂孔食管切除术后出现了严重的血栓栓塞后遗症。在裂孔和胸腔内“钝性”解剖过程中，病变主动脉的碎片意外脱落被认为是导致这一罕见术后问题的原因。在对这类血管病变患者进行食管切除术时，在食管裂孔附近操作时应牢记这一潜在并发症。
