Goto H, Utoh J, Hongoh H, Hirata T, Kondoh K, Sun L B, Hara M
First Department of Surgery, School of Medicine, Kumamoto University, Honjo, Kumamoto City, Japan.
J Cardiovasc Surg (Torino). 1998 Aug;39(4):425-7.
Aortoesophageal fistulas from primary thoracic aortic aneurysms are almost always fatal. In the English literature we have found only four successfully managed cases, all descending thoracic aortic aneurysms. We report an elderly woman who developed an aortoesophageal fistula from an aortic arch aneurysm. She was successfully managed with graft replacement including reattachment of arch vessels and a staged esophagectomy which was accompanied by mobilization of the omentum into the space between the esophagus and the prosthetic graft. She was the first successfully treated patient with aortoesophageal fistula resulting from aortic arch aneurysm.
原发性胸主动脉瘤导致的主动脉食管瘘几乎总是致命的。在英文文献中，我们仅发现4例成功治疗的病例，均为降主动脉瘤。我们报告1例老年女性，她因主动脉弓动脉瘤发生了主动脉食管瘘。通过移植置换术成功治疗，包括重新连接主动脉弓血管和分期食管切除术，同时将大网膜移入食管与人工血管之间的间隙。她是首例因主动脉弓动脉瘤导致主动脉食管瘘并成功治疗的患者。
