急诊血管内处理继发性主动脉-肠瘘1例报告

M. Thomas, P. Van Loo, D. Kamali, R. Mofidi
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引用次数: 1

摘要

主动脉肠瘘(AEF)是主动脉与胃肠道之间的异常通信。传统上需要开放手术修复,但在这里我们报告成功的血管内处理这种外科紧急情况。报告:一名62岁男子出现与肉搏病相关的一段崩溃。上消化道内窥镜检查诊断为先前主动脉-双股旁路手术的继发性房颤。这是治疗成功的血管内部署主动脉-单髂支架装置。AEF的血管内修复可以为开腹手术提供一个成功的桥梁,以最终修复胃肠道的受损部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency Endovascular Management of a Secondary Aorto-enteric Fistula: A Case Report

Introduction

An aorto-enteric fistula (AEF) is an abnormal communication between the aorta and the gastrointestinal (GI) tract. It has traditionally required open surgical repair, but here we report the successful endovascular management of this surgical emergency.

Report

A 62-year-old man presented with an episode of collapse associated with meleana. Upper GI endoscopy diagnosed a secondary AEF from a previous aorto-bi-femoral bypass procedure. This was treated successfully with the endovascular deployment of an aorto-uni-iliac stent device.

Discussion

Endovascular repair of AEF can provide a successful bridge to open laparotomy for definitive repair of the affected part of the gastrointestinal tract.

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